MARIANE MANALO DOMINGO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016077

License Status

ACTIVE

Business

First Name

MARIANE

Middle

MANALO

Last Name

DOMINGO

Business Name

MARIANE MANALO DOMINGO

Original Issue Date

06/16/2017

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026