PEGGY S BASHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058089

License Status

INACTIVE

Business

First Name

PEGGY S

Last Name

BASHAM

Business Name

PEGGY S BASHAM

Original Issue Date

12/27/1983

Effective Date

12/20/2004

Expiration Date

01/31/2005

City

MAUMELLE

State

Zip

72113

County

PULASKI

Ever Disciplined

LastModifiedDate

10/15/2005