NameLori Ann Funk
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.01065- Temporary Dialysis Certificate 1 06/06/2001 06/06/2001 10/11/2002 EXPIRED
TC2.01065- Temporary Dialysis Certificate 2 10/12/2002 10/12/2002 04/12/2003 EXPIRED

Comments


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