DODI KRESNANDO SUHARI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011709

License Status

ACTIVE

Business

First Name

DODI

Middle

KRESNANDO

Last Name

SUHARI

Business Name

DODI KRESNANDO SUHARI

Original Issue Date

08/15/2014

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

FESTUS

State

Zip

63028

Ever Disciplined

LastModifiedDate

03/02/2026