NameDHADRA ANHA MOORE
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.04017- Ohio Certified Dialysis Technician 07/03/2014 03/19/2015 03/31/2017 ACTIVE
TC1.04017- Temporary Dialysis Certificate 1 02/19/2013 02/19/2013 04/29/2014 EXPIRED

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