NameSKYE E GROOMS
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DTI.04376- Dialysis Technician Intern 08/14/2014 08/14/2014 11/18/2015 ACTIVE
TC1.02543- Temporary Dialysis Certificate 1 07/07/2006 07/07/2006 10/24/2007 CLOSED
TC2.02543- Temporary Dialysis Certificate 2 10/25/2007 10/25/2007 04/24/2008 EXPIRED

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