NameAngela Sue Southworth
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.02291- Ohio Certified Dialysis Technician 08/18/2006 02/27/2007 03/31/2009 LAPSED
TC1.02291- Temporary Dialysis Certificate 1 07/22/2005 07/22/2005 04/04/2006 CLOSED
TC2.02291- Temporary Dialysis Certificate 2 04/05/2006 04/05/2006 09/01/2006 CLOSED

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