Department of Licensing and Regulatory Affairs
Board of Nursing
ANDREAS GUNAWAN TEDJOSUKMONO
Nursing - Lpn
License number
4703102479
Date granted
08/29/2008
Date expires
03/31/2015
Class
Nursing - Lpn
Status
Lapsed
Address
nursingmichigan.com
ID 39006389
LAST UPDATED 2024-03-08 22:15:05 UTC
LAST UPDATED 2024-03-08 22:15:05 UTC
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