Gustap Kris Febrianto
ExpiredCalifornia license 95360092
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95360092
- Status
- Expired (Delinquent)
- First issued
- November 28, 2023
- Expired
- March 31, 2025
- License holder
- Gustap Kris Febrianto
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3385 W Wagon Trail Dr
Englewood, CO 80110-6220
Englewood, CO 80110-6220