EVANGELINE F BASA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124936

License Status

INACTIVE

Business

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

City

BAKERSFIELD

State

Zip

93306

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006