Pennsylvania
Department of State
MISTY RENEE BASHAM
Graduate Practical Nurse Permit
License number
PN001780Y
Date granted
08/06/1996
Date expires
08/11/1999
Class
Graduate Practical Nurse Permit
Status
Voided
Address
franklin PA 16323
palicensing.org
ID 16691052
LAST UPDATED 2026-05-07 07:08:44 UTC
LAST UPDATED 2026-05-07 07:08:44 UTC
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