NameHEATHER ANN MERGENTHAL
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
MA-C.00011- Medication Aide Certified 07/01/2007 05/01/2010 04/30/2012 LAPSED
MAP.00011- Medication Aide PILOT 01/05/2007 01/05/2007 06/30/2007 CLOSED

Comments


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