JENNIFER RAE BASS Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009445

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RAE

Last Name

BASS

Business Name

JENNIFER RAE BASS

Original Issue Date

06/21/2002

Effective Date

01/05/2024

Expiration Date

03/31/2026

City

MOUNT VERNON

State

Zip

62864

Ever Disciplined

LastModifiedDate

01/08/2026