NameDWIGHT ANTHONY PRIDGEN
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.02560- Temporary Dialysis Certificate 1 08/10/2006 08/10/2006 12/15/2007 CLOSED
TC2.02560- Temporary Dialysis Certificate 2 12/19/2007 12/19/2007 05/19/2008 EXPIRED

Comments


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