| Name | TINA ROSE ZUMBIEL |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| DT.01184- | Ohio Certified Dialysis Technician | 07/26/2002 | 02/18/2009 | 03/31/2011 | INACTIVE | ||||||||||
| RN.349614- | Registered Nurse | 05/06/2009 | 06/11/2015 | 08/31/2017 | ACTIVE | Examination | |||||||||
| TC1.01184- | Temporary Dialysis Certificate 1 | 09/27/2001 | 09/27/2001 | 03/27/2002 | EXPIRED | ||||||||||