Kelley Johanna Bass

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002615

Status

Expired (Not Renewed)

First issued

October 6, 2005

Expired

March 1, 2010

License holder

Kelley Johanna Bass

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/14/2007

Other Illinois licenses under this name

• IL
  Kelley Johanna Bass

  License 38*****63

  Physician Assistant Controlled Substance
  Expired

  Winfield, IL

  Expired Mar 1, 2010

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