JEANNE E BASHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057979

License Status

INACTIVE

Business

First Name

JEANNE E

Last Name

BASHAM

Business Name

JEANNE E BASHAM

Original Issue Date

12/27/1983

Expiration Date

01/31/1987

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005