License holder summary

Keith Emory Basham is a Medical - Physician Assistant licensed to practice in Colorado. The address on file for Keith Emory Basham is 1607 Van Cleave Rd NW, Albuquerque, NM, 87107-3441. This licensed professional license is current. The license was granted 10/28/2010 and expired on 01/31/2016.

Colorado

Division of Professions and Occupations

Keith Emory Basham
Medical - Physician Assistant
License number
3117
Date granted
10/28/2010
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
1607 Van Cleave Rd NW, Albuquerque, NM, 87107-3441
coloradolicensing.org
ID 28289888
LAST UPDATED 2024-03-29 06:15:32 UTC

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