CHARLOTTE T MANYITABOT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

CHARLOTTE

Middle

Last Name

MANYITABOT

Business Name

CHARLOTTE T MANYITABOT

Original Issue Date

04/07/2025

Effective Date

04/07/2025

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026