Eric Juliyanto Rusaidy
ExpiredCalifornia license 95276842
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95276842
- Status
- Expired (Delinquent)
- First issued
- March 4, 2022
- Expired
- August 31, 2023
- License holder
- Eric Juliyanto Rusaidy
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
152 Harbor Village Dr
Apt 101
Memphis, TN 38103-8808
Apt 101
Memphis, TN 38103-8808
Shelby County