NameBLAKE AMANDA GIANNELLI
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
TC1.03078- Temporary Dialysis Certificate 1 09/15/2008 09/15/2008 01/07/2010 EXPIRED
TC2.03078- Temporary Dialysis Certificate 2 01/08/2010 01/08/2010 07/07/2010 EXPIRED

Comments


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