ANDREAS G TEDJOSUKMONO - Registered Nurse License in Michigan | # 041389189

ANDREAS G TEDJOSUKMONO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041389189

License Status

NOT RENEWED

Business

N

First Name

ANDREAS

Middle

G

Last Name

TEDJOSUKMONO

Business Name

ANDREAS G TEDJOSUKMONO

Original Issue Date

11/15/2010

Effective Date

03/19/2014

Expiration Date

05/31/2016

State

MI

Ever Disciplined

N

LastModifiedDate

07/11/2016