New Mexico
Regulation & Licensing Department
Keith Emory Basham
Physician Assistant - Medical
License number
PA2011-0057
Date granted
11/15/2011
Date expires
03/01/2015
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5275222
LAST UPDATED 2024-04-25 04:46:16 UTC
LAST UPDATED 2024-04-25 04:46:16 UTC
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