GWENDOLYN BASS - Registered Nurse License in Illinois | # 043089816

GWENDOLYN BASS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089816

License Status

NOT RENEWED

Business

N

First Name

GWENDOLYN

Last Name

BASS

Business Name

GWENDOLYN BASS

Original Issue Date

05/27/2004

Effective Date

01/04/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007