Tanti Nilawati Usong
InactiveCalifornia license 629875
License
- Licensed by
- California Board of Registered Nursing
- License number
- 629875
- Status
- Inactive (CurrentInactive)
- First issued
- December 8, 2003
- Expires
- October 31, 2027
- License holder
- Tanti Nilawati Usong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5010 Birkdale Way
San Jose, CA 95138-2109
San Jose, CA 95138-2109
Santa Clara County