JACQUELINE E BASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104642

License Status

NOT RENEWED

Business

First Name

JACQUELINE E

Last Name

BASS

Business Name

JACQUELINE E BASS

Original Issue Date

11/29/1962

Effective Date

11/29/1962

Expiration Date

05/31/2002

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006