Indiana
Professional Licensing Agency
Nicholas Basham
Physician Assistant
License number
10001692A
Date granted
07/14/2014
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Evansville IN 47708
indianalicensing.org
ID 29180333
LAST UPDATED 2024-04-13 14:55:13 UTC
LAST UPDATED 2024-04-13 14:55:13 UTC
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