Eddy Tirtaputra

License

Licensed by

California Board of Registered Nursing

License number

620975

Status

Expired (Delinquent)

First issued

July 7, 2003

Expired

March 31, 2023

License holder

Eddy Tirtaputra

Entity type

Individual

Classifications

• Registered Nurse Nursing

More from the license record

License type code

4001

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