NamePENNY JANE FOGLE
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.00988- Ohio Certified Dialysis Technician 04/26/2002 01/05/2005 03/31/2007 LAPSED
RN.319317- Registered Nurse 07/18/2005 06/17/2015 08/31/2017 ACTIVE Examination
TC1.00988- Temporary Dialysis Certificate 1 04/05/2001 04/05/2001 07/08/2002 EXPIRED

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