| Name | Melissa Kay Tackett |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| TC1.01308- | Temporary Dialysis Certificate 1 | 02/07/2002 | 02/07/2002 | 04/30/2003 | EXPIRED | ||||||||||