Henry Utama
ActiveCalifornia license 614907
License
- Licensed by
- California Board of Registered Nursing
- License number
- 614907
- Status
- Active (Current)
- First issued
- March 6, 2003
- Expires
- November 30, 2026
- License holder
- Henry Utama
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5429 Gondar Ave
Lakewood, CA 90713-1606
Lakewood, CA 90713-1606
Los Angeles County