NameOWEN JAY SHOEMAKER
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.02064- Ohio Certified Dialysis Technician 12/08/2005 02/27/2007 03/31/2009 LAPSED
RN.345293- Registered Nurse 09/24/2008 06/30/2015 08/31/2017 ACTIVE Examination
TC1.02064- Temporary Dialysis Certificate 1 09/29/2004 09/29/2004 02/02/2006 EXPIRED

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