MANUEL MANTILLA AMPO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356696

License Status

ACTIVE

Business

First Name

MANUEL

Middle

MANTILLA

Last Name

AMPO

Business Name

MANUEL MANTILLA AMPO

Original Issue Date

10/18/2006

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026