| Name | KENETHIA L GREENE |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| DTI.04642- | Dialysis Technician Intern | 07/09/2015 | 07/09/2015 | 08/19/2016 | ACTIVE | ||||||||||