ASHLEY MANTERNACH AHMAD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

ASHLEY

Last Name

MANTERNACH AHMAD

Business Name

ASHLEY MANTERNACH AHMAD

Original Issue Date

03/25/2019

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026