The holder whose full name is Basham, Carla S,come from Fishers IN,hold the Registered Nurse license(NO.28173675A) which status is Active.
| Name | Basham, Carla S |
|---|---|
| License Number | 28173675A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Fishers |
| State | IN |