| Name | Wanda Leigh Dutcher |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| TC1.02130- | Temporary Dialysis Certificate 1 | 12/22/2004 | 12/22/2004 | 03/07/2006 | EXPIRED | ||||||||||