License holder summary

GRACE INDRAKUSUMA is a Nursing - Certified Nursing Asst licensed to practice in Arizona. This licensed professional license is not current. The license was granted 06/18/2007 and expired on 07/31/2009.

Arizona

Board of Licensing

GRACE INDRAKUSUMA
Nursing - Certified Nursing Asst
License number
CNA1000012736
Date granted
06/18/2007
Date expires
07/31/2009
Class
Nursing - Certified Nursing Asst
Status
Lapsed
arizonalicensing.com
ID 22480383
LAST UPDATED 2026-05-22 12:20:04 UTC

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