Albert Petrus Wirawan
ExpiredCalifornia license 95008852
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95008852
- Status
- Expired (Delinquent)
- First issued
- April 5, 2018
- Expired
- June 30, 2021
- License holder
- Albert Petrus Wirawan
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
Other California licenses under this name
-
CA
ExpiredGastonia, NCExpired Jun 30, 2021
Contact
2832 Scarborough Ct
Gastonia, NC 28054-6005
Gastonia, NC 28054-6005
Gaston County