B A S I C L I F E S U P P O R T

BLS
Provider

Theresa Kokkeler
has successfully completed the cognitive and skills
evaluations in accordance with the curriculum of the
American Heart Association Basic Life Support
(CPR and AED) Program.

Issue Date Recommended Renewal Date

12/13/2016 12/2018

Training Center Name Instructor Name

Central Shenandoah Emergency Medical Services Lauren Mullen
Council
Instructor ID
Training Center ID
07130185734
VA05047
eCard Code
Training Center Address
165501640774
2312 W Beverly St
Staunton VA 24401 USA QR Code

Training Center Phone

Number
(540) 886-3676

To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.heart.org/cpr/mycards.
2016 American Heart Association. All rights reserved. 15-3001 3/16