| Name | Nicole Marie Shuman |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| TC1.00975- | Temporary Dialysis Certificate 1 | 03/21/2001 | 03/21/2001 | 09/21/2002 | EXPIRED | ||||||||||