COLLEEN M BONAVIA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088854

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

BONAVIA

Business Name

COLLEEN M BONAVIA

Original Issue Date

09/09/2003

Effective Date

01/14/2005

Expiration Date

01/31/2007

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2007