The holder whose full name is Basham, Nicholas,come from Evansville IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001692A) which status is Active.
| Name | Basham, Nicholas |
|---|---|
| License Number | 10001692A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Evansville |
| State | IN |