NameHOLLY MARIE DEWALT
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.02741- Ohio Certified Dialysis Technician 08/11/2008 03/07/2011 03/31/2013 LAPSED
RN.390286- Registered Nurse 03/18/2013 07/21/2015 08/31/2017 ACTIVE Examination
TC1.02741- Temporary Dialysis Certificate 1 04/30/2007 04/30/2007 08/19/2008 EXPIRED

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