Susan M Bast
InactiveIllinois license 041210144
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041210144
- Status
- Inactive
- First issued
- May 10, 1982
- Expired
- May 31, 2010
- License holder
- Susan M Bast
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/11/2008
Contact
San Pedro, CA 90732
California County