NameEddie James Harrell
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.02371- Temporary Dialysis Certificate 1 11/10/2005 11/10/2005 03/06/2007 CLOSED
TC2.02371- Temporary Dialysis Certificate 2 03/07/2007 03/07/2007 08/05/2007 EXPIRED

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