NameJohn Andrew Lykins, Jr.
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.02179- Temporary Dialysis Certificate 1 03/17/2005 03/17/2005 07/10/2006 EXPIRED
TC2.02179- Temporary Dialysis Certificate 2 07/11/2006 12/15/2006 INACTIVE

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