License holder summary

Nicole M Basham is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Nicole M Basham is La Porte IN 46350. This licensed professional license is not current. The license was granted 08/20/2013 and expired on 08/20/2014.

Indiana

Professional Licensing Agency

Nicole M Basham
Pharmacy Technician In-Training
License number
99058631A
Date granted
08/20/2013
Date expires
08/20/2014
Class
Pharmacy Technician In-Training
Status
Superceded
Address
La Porte IN 46350
indianalicensing.org
ID 8322111
LAST UPDATED 2024-04-05 16:52:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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