License holder summary

JONATHAN MADYA NITISUSANTA is a Nursing - Dentist licensed to practice in Florida. The address on file for JONATHAN MADYA NITISUSANTA is 2704 REW CIRCLE #103 OCOEE,FL34761 UNITED STATES. This nurse license is current. The license was granted 07/06/1992 and expired on 02/28/2016.

Secretary of State

Board of Nursing

JONATHAN MADYA NITISUSANTA
Nursing - Dentist
License number
DN13138
Date granted
07/06/1992
Date expires
02/28/2016
Class
Nursing - Dentist
Status
Active
Address
2704 REW CIRCLE #103 OCOEE,FL34761 UNITED STATES
nursingflorida.org
ID 31861853
LAST UPDATED 2026-05-10 06:25:57 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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