TRACEY L BASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238130

License Status

NOT RENEWED

Business

First Name

TRACEY L

Last Name

BASS

Business Name

TRACEY L BASS

Original Issue Date

09/15/1986

Effective Date

06/10/2010

Expiration Date

05/31/2012

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012