NameSYLVIA JEAN MACK
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.00432- Ohio Certified Dialysis Technician 05/02/2001 03/26/2015 03/31/2017 ACTIVE
TC1.00432- Temporary Dialysis Certificate 1 12/28/2000 12/28/2000 06/28/2001 EXPIRED

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