BRENDA KAY BASHAM - Registered Nurse License in Illinois | # 041131505

BRENDA KAY BASHAM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131505

License Status

INACTIVE

Business

N

First Name

BRENDA KAY

Last Name

BASHAM

Business Name

BRENDA KAY BASHAM

Original Issue Date

08/26/1969

Effective Date

08/26/1969

Expiration Date

05/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006