NameEVA REBECCA ANN LONGAR
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DTI.04079- Dialysis Technician Intern 07/23/2013 07/23/2013 09/04/2014 EXPIRED
Temporary Dialysis Certificate 1 CLOSED

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