NANCY ELIZABETH BASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

NANCY

Middle

ELIZABETH

Last Name

BASS

Business Name

NANCY ELIZABETH BASS MD

Original Issue Date

12/16/2022

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023