NameAMANDA JEAN ODON
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
PN.147529-M-IV Licensed Practical Nurse - M-IV 12/22/2011 08/19/2014 08/31/2016 ACTIVE Examination
TC1.01922- Temporary Dialysis Certificate 1 03/11/2004 12/03/2004 10/03/2005 EXPIRED

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