License holder summary

SEVERINE MIA BASHAM is a Physician Assistants - Physician Assistant Who Holds A Temporary Permit To Practice licensed to practice in Alaska. The address on file for SEVERINE MIA BASHAM is PO BOX 39832 66420 SPRUCE AVE NINILCHIK AK 99639. This licensed professional license is current. The license was granted 02/01/2008 and expired on 04/07/2008.

Alaska

Division of Corporations, Business and Professional Licensing

SEVERINE MIA BASHAM
Physician Assistants - Physician Assistant Who Holds A Temporary Permit To Practice
License number
1962
Date granted
02/01/2008
Date expires
04/07/2008
Class
Physician Assistants - Physician Assistant Who Holds A Temporary Permit To Practice
Status
Licensed
Address
PO BOX 39832 66420 SPRUCE AVE NINILCHIK AK 99639
alaskalicensing.com
ID 20448035
LAST UPDATED 2024-04-04 15:57:45 UTC

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