NameLORI LYNNE URDIALES
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.03603- Ohio Certified Dialysis Technician 07/06/2012 03/04/2015 03/31/2017 ACTIVE
TC1.03603- Temporary Dialysis Certificate 1 03/21/2011 03/21/2011 07/10/2012 CLOSED

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