TRACEY L BASS - Registered Nurse License in Illinois | # 041238130

TRACEY L BASS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238130

License Status

NOT RENEWED

Business

N

First Name

TRACEY L

Last Name

BASS

Business Name

TRACEY L BASS

Original Issue Date

09/15/1986

Effective Date

06/10/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012