JOSE G MANTILLA-ACEVEDO - Advanced Practice Nurse License in Illinois | # 209008328

JOSE G MANTILLA-ACEVEDO

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008328

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

G

Last Name

MANTILLA-ACEVEDO

Business Name

JOSE G MANTILLA-ACEVEDO

Original Issue Date

08/31/2010

Effective Date

03/19/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016