TIWANNA N BASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089373

License Status

NOT RENEWED

Business

First Name

TIWANNA

Middle

Last Name

BASS

Business Name

TIWANNA N BASS

Original Issue Date

12/18/2003

Effective Date

02/02/2015

Expiration Date

01/31/2017

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017