LESLIE E BASSELL

Business Entity
ACTIVE

Advanced Practice Nurse

ADV PRACTICE NURSE CONTROL SUB

30*****41

ACTIVE

N

LESLIE

E

BASSELL

LESLIE E BASSELL

01/06/2015

04/30/2024

05/31/2026

NILES

IL

60714

COOK

II III IV V

N

03/02/2026