DINA SULISTYO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360375

License Status

NOT RENEWED

Business

First Name

DINA

Last Name

SULISTYO

Business Name

DINA SULISTYO

Original Issue Date

06/06/2007

Effective Date

06/06/2007

Expiration Date

05/31/2008

City

CANYON COUNTRY

State

Zip

91351

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/11/2008