NameLAUREL JENNET SIMS
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.01672- Ohio Certified Dialysis Technician 05/14/2004 03/30/2009 03/31/2011 INACTIVE
TC1.01672- Temporary Dialysis Certificate 1 03/12/2003 03/12/2003 07/01/2004 EXPIRED

Comments


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