NameRacquel Stacy Holt
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.02065- Temporary Dialysis Certificate 1 09/29/2004 09/29/2004 11/03/2005 EXPIRED
TC2.02065- Temporary Dialysis Certificate 2 11/03/2005 11/04/2005 05/03/2006 EXPIRED

Comments


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