License holder summary

NUSANTARA , RANDY T is a Department Of Health - Registered Nurse licensed to practice in Tennessee. This nurse license is not current. The license was granted 07/02/2013 and expired on 07/31/2014.

Department of Health

Board of Nursing

NUSANTARA , RANDY T
Department Of Health - Registered Nurse
License number
190336
Date granted
07/02/2013
Date expires
07/31/2014
Class
Department Of Health - Registered Nurse
Status
Expired
Address
nursingtn.com
ID 42381326
LAST UPDATED 2026-04-23 10:51:34 UTC

This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.

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