PENELOPE MANTILLA Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000666

License Status

NOT RENEWED

Business

First Name

PENELOPE

Last Name

MANTILLA

Business Name

PENELOPE MANTILLA

Original Issue Date

09/24/2019

Effective Date

05/02/2022

Expiration Date

04/30/2024

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025