JOHANNES DIAN FERDAUS - Registered Nurse License in Wisconsin | # 041578656

JOHANNES DIAN FERDAUS

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041578656

License Status

ACTIVE

Business

N

First Name

JOHANNES

Middle

DIAN

Last Name

FERDAUS

Business Name

JOHANNES DIAN FERDAUS

Original Issue Date

12/22/2024

Effective Date

04/02/2026

Expiration Date

05/31/2028

State

WI

Ever Disciplined

N

LastModifiedDate

04/02/2026