LUCIO RAY BONILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041436638

License Status

NOT RENEWED

Business

First Name

LUCIO

Middle

RAY

Last Name

BONILLA

Business Name

LUCIO RAY BONILLA

Original Issue Date

11/17/2015

Effective Date

05/02/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018