License Directory

Tiurma Siagian

Expired

California license 639730

License

Licensed by
California Board of Registered Nursing
License number
639730
Status
Expired (Delinquent)
First issued
July 8, 2004
Expired
September 30, 2017
License holder
Tiurma Siagian
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

37231 High Ridge Dr
Beaumont, CA 92223
Riverside County