MARLA EVELYN BASS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

NOT RENEWED

Business

First Name

MARLA

Middle

EVELYN

Last Name

BASS

Business Name

MARLA EVELYN BASS

Original Issue Date

06/24/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010