DOROTHY CHRISTMA BONAVIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028664

License Status

NOT RENEWED

Business

First Name

DOROTHY CHRISTMA

Last Name

BONAVIA

Business Name

DOROTHY CHRISTMA BONAVIA

Original Issue Date

06/29/1971

Expiration Date

01/31/1991

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005