NameFORREST LEROY PAGE
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
DT.00324- Ohio Certified Dialysis Technician 02/21/2001 02/26/2007 03/31/2009 LAPSED
TC1.00324- Temporary Dialysis Certificate 1 12/26/2000 12/26/2000 06/26/2001 EXPIRED

Comments


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