LILLIE MAE BASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042417

License Status

NOT RENEWED

Business

First Name

LILLIE MAE

Last Name

BASS

Business Name

LILLIE MAE BASS

Original Issue Date

09/12/1977

Expiration Date

01/31/1993

City

WESSON

State

Zip

39191

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/21/2005