MA RACHELLE L BASA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300184

License Status

NOT RENEWED

Business

First Name

MA RACHELLE L

Last Name

BASA

Business Name

MA RACHELLE L BASA

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

05/31/2002

City

JEFFERSONVILLE

State

Zip

47130

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006