NERISSA S BASA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306827

License Status

NOT RENEWED

Business

First Name

NERISSA

Middle

Last Name

BASA

Business Name

NERISSA S BASA

Original Issue Date

11/05/1997

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018