The holder whose full name is BASHAM, CLARA GERTRUDE,come from South Bend IN,hold the Registered Nurse license(NO.28028933A) which status is Expired.
| Name | BASHAM, CLARA GERTRUDE |
|---|---|
| License Number | 28028933A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | South Bend |
| State | IN |