KIMBERLY J BASHAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013223

License Status

INACTIVE

Business

First Name

KIMBERLY J

Last Name

BASHAM

Business Name

KIMBERLY J BASHAM

Original Issue Date

08/25/2015

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

THE VILLAGES

State

Zip

32162

Ever Disciplined

LastModifiedDate

04/02/2018