NameHOLLY MARIE TRAVILLIAN
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
MA-C.00020- Medication Aide Certified 07/01/2007 05/01/2008 03/26/2009 LAPSED
MAP.00020- Medication Aide PILOT 01/17/2007 01/17/2007 06/30/2007 CLOSED
RN.343651- Registered Nurse 08/04/2008 07/01/2013 08/31/2015 INACTIVE Examination

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