EVANGELINE F BASA - Registered Nurse License in California | # 041124936

EVANGELINE F BASA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124936

License Status

INACTIVE

Business

N

First Name

EVANGELINE F

Last Name

BASA

Business Name

EVANGELINE F BASA

Original Issue Date

02/09/1968

Effective Date

02/09/1968

Expiration Date

05/31/2004

State

CA

Ever Disciplined

N

LastModifiedDate

10/09/2006