BEVERLY JEAN BASHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142085

License Status

INACTIVE

Business

First Name

BEVERLY JEAN

Last Name

BASHAM

Business Name

BEVERLY JEAN BASHAM

Original Issue Date

11/23/1971

Effective Date

11/23/1971

Expiration Date

05/31/1992

City

BUCKLEY

State

Zip

60918

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/27/2006