KEITH SAMUEL BASS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041424881

License Status

ACTIVE

Business

First Name

KEITH

Middle

SAMUEL

Last Name

BASS

Business Name

KEITH SAMUEL BASS

Original Issue Date

09/23/2014

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

ANNA

State

Zip

62906

Ever Disciplined

LastModifiedDate

03/01/2026