| Name | NIJSHA MARIE VANCLEAF |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| DTI.04427- | Dialysis Technician Intern | 10/23/2014 | 10/23/2014 | 02/03/2016 | ACTIVE | ||||||||||