NameGRACE LEEANNE SIMSA
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.01567- Ohio Certified Dialysis Technician 11/26/2003 02/18/2015 03/31/2017 ACTIVE
TC1.01567- Temporary Dialysis Certificate 1 11/28/2002 11/27/2002 03/23/2004 EXPIRED

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