License holder summary

JACLYN RENEE BASA is a Temporary Respiratory Therapist licensed to practice in Pennsylvania. The address on file for JACLYN RENEE BASA is Clarksburg PA 15725. This licensed professional license is not current. The license was granted 05/11/2007 and expired on 05/11/2008.

Pennsylvania

Department of State

JACLYN RENEE BASA
Temporary Respiratory Therapist
License number
TYM008276
Date granted
05/11/2007
Date expires
05/11/2008
Class
Temporary Respiratory Therapist
Status
Voided
Address
Clarksburg PA 15725
palicensing.org
ID 16658090
LAST UPDATED 2024-04-23 22:22:32 UTC

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