JEANNE E BASHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041237743

License Status

NOT RENEWED

Business

First Name

JEANNE E

Last Name

BASHAM

Business Name

JEANNE E BASHAM

Original Issue Date

09/15/1986

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

08/16/2010