LYNNETTE A BASS

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041113001

NOT RENEWED

N

LYNNETTE A

BASS

LYNNETTE A BASS

01/29/1965

01/29/1965

05/31/2002

MASCOUTAH

IL

62258

SAINT CLAIR

N

10/09/2006