LOLA LEE BASS - Registered Nurse License in Illinois | # 043015855

LOLA LEE BASS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015855

License Status

INACTIVE

Business

N

First Name

LOLA LEE

Last Name

BASS

Business Name

LOLA LEE BASS

Original Issue Date

09/02/1966

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005