RAMON MANTILLA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081691

License Status

INACTIVE

Business

First Name

RAMON

Last Name

MANTILLA

Business Name

RAMON MANTILLA

Original Issue Date

10/23/1990

Effective Date

10/23/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006