ANDREAS G TEDJOSUKMONO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041389189

License Status

NOT RENEWED

Business

First Name

ANDREAS

Middle

Last Name

TEDJOSUKMONO

Business Name

ANDREAS G TEDJOSUKMONO

Original Issue Date

11/15/2010

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

BERRIEN SPRINGS

State

Zip

49103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2016