JOHN PHILLIP BASHAM Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004486

License Status

EXPIRED

Business

First Name

JOHN

Middle

PHILLIP

Last Name

BASHAM

Business Name

JOHN PHILLIP BASHAM

Original Issue Date

11/21/2022

Effective Date

09/18/2023

Expiration Date

09/18/2024

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

01/02/2025