GLENN ML FANTILLO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041488975

License Status

ACTIVE

Business

First Name

GLENN

Middle

Last Name

FANTILLO

Business Name

GLENN ML FANTILLO

Original Issue Date

12/09/2019

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

02/28/2026