DINA K MANTIS

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****95

ACTIVE

N

DINA

K

MANTIS

DINA K MANTIS

03/23/2001

02/13/2026

03/01/2028

GLENVIEW

IL

60026

COOK

II III IV V

N

02/13/2026