License holder summary

SEVERINE MIA CLEMENCE BASHAM is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for SEVERINE MIA CLEMENCE BASHAM is P.O. BOX 921123 DUTCH HARBOR AK 99692. This licensed professional license is current. The license was granted 04/09/2008 and expired on 12/31/2012.

Alaska

Division of Corporations, Business and Professional Licensing

SEVERINE MIA CLEMENCE BASHAM
Physician Assistants - Licensed Physician Assistant
License number
799
Date granted
04/09/2008
Date expires
12/31/2012
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
P.O. BOX 921123 DUTCH HARBOR AK 99692
alaskalicensing.com
ID 20412783
LAST UPDATED 2024-03-24 22:29:34 UTC

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