License Directory

Agustinus Rushanaedy

Active

California license A41710

License

Licensed by
Medical Board of California
License number
A41710
Status
Active (Current)
First issued
April 29, 1985
Expires
April 30, 2027
License holder
Agustinus Rushanaedy
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

4598 NW Oxbridge Dr
Portland, OR 97229-9359
Washington County