| Name | Racquel Stacy Holt |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| 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 | ||||||||||