NameNICHOLE RENAE FADIS
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.01214- Ohio Certified Dialysis Technician 02/10/2005 03/04/2015 03/31/2017 ACTIVE
TC1.01214- Temporary Dialysis Certificate 1 10/17/2001 10/17/2001 11/29/2002 EXPIRED
TC2.01214- Temporary Dialysis Certificate 2 09/03/2003 09/03/2003 02/25/2004 EXPIRED

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