John Phillip Basham
ExpiredIllinois license 045004486
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004486
- Status
- Expired
- First issued
- November 21, 2022
- Expired
- September 18, 2024
- License holder
- John Phillip Basham
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 09/18/2023
Contact
Marshall, IL 62441
Clark County