AMANDA J BASHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025025

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

BASHAM

Business Name

AMANDA J BASHAM

Original Issue Date

03/31/2022

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/02/2026