Benny Gultom
ExpiredCalifornia license 641348
License
- Licensed by
- California Board of Registered Nursing
- License number
- 641348
- Status
- Expired (Delinquent)
- First issued
- July 26, 2004
- Expired
- October 31, 2021
- License holder
- Benny Gultom
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
300 Three Islands Blvd Apt 109
Hallandale Beach, FL 33009-2800
Hallandale Beach, FL 33009-2800
Broward County