SUSAN MARIE BASHAM - Registered Nurse License in Illinois | # 041176195

SUSAN MARIE BASHAM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176195

License Status

INACTIVE

Business

N

First Name

SUSAN MARIE

Last Name

BASHAM

Business Name

SUSAN MARIE BASHAM

Original Issue Date

10/12/1977

Effective Date

06/08/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

04/09/2024