NameMICHELLE H SMYCZEK
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DTI.04107- Dialysis Technician Intern 09/13/2013 09/13/2013 12/11/2014 EXPIRED
PN.119143-M-IV Licensed Practical Nurse - M-IV 07/21/2005 06/30/2014 08/31/2016 ACTIVE Examination

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