The holder whose full name is Bass, Jacquelyn Ann,come from Goshen KY,hold the Registered Nurse license(NO.28139239A) which status is Expired.
| Name | Bass, Jacquelyn Ann |
|---|---|
| License Number | 28139239A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Goshen |
| State | KY |