NameTara Renee Elliott
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.01502- Temporary Dialysis Certificate 1 10/11/2002 10/11/2002 12/10/2003 EXPIRED
TC2.01502- Temporary Dialysis Certificate 2 12/11/2003 12/11/2003 06/10/2004 EXPIRED

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