NameRYAN M FORNEY
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.03451- Ohio Certified Dialysis Technician 11/09/2011 03/04/2015 03/31/2017 ACTIVE
TC1.03451- Temporary Dialysis Certificate 1 09/13/2010 09/13/2010 11/03/2011 CLOSED

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