JENNIFER RAE BASS Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RAE

Last Name

BASS

Business Name

JENNIFER RAE BASS

Original Issue Date

08/27/2002

Effective Date

01/05/2024

Expiration Date

03/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026