ELIZABETH KATHRINE BONILLO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086956

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

KATHRINE

Last Name

BONILLO

Business Name

ELIZABETH KATHRINE BONILLO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/22/2025