License Directory

Pieter Stanley Gultom

Active

California license 528516

License

Licensed by
California Board of Registered Nursing
License number
528516
Status
Active (Current)
First issued
December 18, 1996
Expired
October 31, 2026
License holder
Pieter Stanley Gultom
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

122 Seamount Way
Saint Augustine, FL 32092-1110
St. Johns County