AMY LOUISE SMITH BASSETT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LOUISE

Last Name

SMITH BASSETT

Business Name

AMY LOUISE SMITH BASSETT

Original Issue Date

09/19/2003

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/11/2010