Keith Basham, PA-C
Controlled Substance
New Mexico CS00217313 Active
This New Mexico license is held by Keith Basham, PA-C. The license is currently active. It was granted on 12/06/2011 and expired on 07/31/2014
LICENSE DETAILS
- License Number: CS00217313
- Category: Controlled Substance
- Status: Active
- Date Granted: 12/06/2011 (over 13 years ago)
- Expiry Date: 07/31/2014 (almost 11 years ago)
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