| Name | ASHLEY NICOLE JUPP |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| DTI.04680- | Dialysis Technician Intern | 09/10/2015 | 09/10/2015 | 12/20/2016 | ACTIVE | ||||||||||