NameCRYSTAL LASHELLE SULLIVAN
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.01798- Ohio Certified Dialysis Technician 01/07/2005 02/18/2015 03/31/2017 ACTIVE
TC1.01798- Temporary Dialysis Certificate 1 08/13/2003 08/13/2003 12/16/2004 EXPIRED
TC2.01798- Temporary Dialysis Certificate 2 12/07/2004 12/17/2004 06/16/2005 EXPIRED

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