JORGE ENRIQUE MANTILLA - Surgical Assistant/Technologist License in Illinois | # 238000655

JORGE ENRIQUE MANTILLA

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000655

License Status

NOT RENEWED

Business

N

First Name

JORGE

Middle

ENRIQUE

Last Name

MANTILLA

Business Name

JORGE ENRIQUE MANTILLA

Original Issue Date

08/13/2019

Effective Date

04/07/2022

Expiration Date

04/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025