Registered Nurse
REGISTERED PROFESSIONAL NURSE
041170345
NOT RENEWED
N
PATRICIA
TANNER
BASS
PATRICIA TANNER BASS
11/01/1976
12/23/2014
05/31/2016
INDEPENDENCE
MO
64055
MISSOURI
Y
07/11/2016
1997050073
Suspension
05/15/1998
07/28/1998
Outstanding income tax liabilities owed the Illinois Department of Revenue. License restored July 28, 1998.