NameMARYANN MARIE EDDY
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.00412- Temporary Dialysis Certificate 1 12/28/2000 12/28/2000 06/28/2001 EXPIRED
TC2.00412- Temporary Dialysis Certificate 2 06/18/2001 06/18/2001 12/29/2001 EXPIRED
TC3.00412- Temporary Dialysis Certificate 3 01/14/2003 01/14/2003 07/14/2003 EXPIRED

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