PAULA M BASHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069775

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

Last Name

BASHAM

Business Name

PAULA M BASHAM

Original Issue Date

02/01/1991

Effective Date

02/03/2011

Expiration Date

01/31/2013

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

03/20/2013