JACQUELYN BASS - Registered Nurse License in Illinois | # 043044662

JACQUELYN BASS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044662

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN

Last Name

BASS

Business Name

JACQUELYN BASS

Original Issue Date

06/29/1978

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005