LUCAS S WIDJAJA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041551379

License Status

ACTIVE

Business

First Name

LUCAS

Middle

Last Name

WIDJAJA

Business Name

LUCAS S WIDJAJA

Original Issue Date

09/05/2023

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

SAN JOSE

State

Zip

95117

Ever Disciplined

LastModifiedDate

02/28/2026