NameFannie Marie Higley
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.01489- Temporary Dialysis Certificate 1 09/25/2002 09/25/2002 01/15/2004 EXPIRED
TC2.01489- Temporary Dialysis Certificate 2 12/29/2003 01/16/2004 07/15/2004 EXPIRED

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