TANYA M BAUSCH

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043084674

NOT RENEWED

N

TANYA

M

BAUSCH

TANYA M BAUSCH

02/23/2000

03/07/2001

01/31/2001

SMITHTON

IL

62285

SAINT CLAIR

N

10/21/2005