JOHANNES DIAN FERDAUS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041578656

License Status

ACTIVE

Business

First Name

JOHANNES

Middle

DIAN

Last Name

FERDAUS

Business Name

JOHANNES DIAN FERDAUS

Original Issue Date

12/22/2024

Effective Date

12/22/2024

Expiration Date

05/31/2026

City

GERMANTOWN

State

Zip

53022

Ever Disciplined

LastModifiedDate

03/01/2026