JESUS W MANCILLA Surgical Assistant/Technologist License verification

Business Entity

ACTIVE

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000068

License Status

ACTIVE

Business

First Name

JESUS

Middle

Last Name

MANCILLA

Business Name

JESUS W MANCILLA

Original Issue Date

12/07/2005

Effective Date

02/03/2026

Expiration Date

04/30/2028

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2026