KEITH SAMUEL BASS - Advanced Practice Nurse License in Illinois | # 277002840

KEITH SAMUEL BASS

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002840

License Status

ACTIVE

Business

N

First Name

KEITH

Middle

SAMUEL

Last Name

BASS

Business Name

KEITH SAMUEL BASS

Original Issue Date

12/11/2023

Effective Date

05/04/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026