NameTheresa Elaine Jenkins
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.01655- Ohio Certified Dialysis Technician 05/27/2004 03/04/2015 03/31/2017 ACTIVE
TC1.01655- Temporary Dialysis Certificate 1 02/12/2003 02/12/2003 01/22/2004 EXPIRED
TC2.01655- Temporary Dialysis Certificate 2 01/07/2004 01/23/2004 07/22/2004 EXPIRED

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