JENSEN ERIC S BASAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041401338

License Status

NOT RENEWED

Business

First Name

JENSEN ERIC

Middle

Last Name

BASAS

Business Name

JENSEN ERIC S BASAS

Original Issue Date

05/17/2012

Effective Date

07/13/2020

Expiration Date

08/31/2022

City

SYRACUSE

State

Zip

13219

Ever Disciplined

LastModifiedDate

10/14/2022