The holder whose full name is BASS, DIXIE RAE,come from PETERSBURG IN,hold the Registered Nurse license(NO.28092631A) which status is Expired.
| Name | BASS, DIXIE RAE |
|---|---|
| License Number | 28092631A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | PETERSBURG |
| State | IN |