Name | KELLY JO FASSETT |
City/State |
License and Registration Information | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
MA-C.00255- | Medication Aide Certified | 09/11/2012 | 02/24/2014 | 04/30/2016 | ACTIVE |