PHYLLIS ANN BONAVIA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128168

License Status

ACTIVE

Business

First Name

PHYLLIS ANN

Last Name

BONAVIA

Business Name

PHYLLIS ANN BONAVIA

Original Issue Date

10/04/1968

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026