LOLA LEE BASS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015855

License Status

INACTIVE

Business

First Name

LOLA LEE

Last Name

BASS

Business Name

LOLA LEE BASS

Original Issue Date

09/02/1966

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005