NameBURDETTA AMEY
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.00452- Ohio Certified Dialysis Technician 07/17/2001 02/20/2015 03/31/2017 ACTIVE
TC1.00452- Temporary Dialysis Certificate 1 01/04/2001 01/04/2001 07/04/2001 EXPIRED

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