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Ref-07431 DH-MQA 1008

1008-7-16.pdf

Limited License Application

1008-7-16.pdf

Limited License Application

1008-7-16.pdf

Limited License Application

1008-7-16.pdf

Limited License Application

Visit the Official Version

Agency:: Department of Health
64B8. Board of Medicine

Description:: Limited License Application

Related Rules

64B8-4.009 Applications

Related Notices

19400114.The proposed rule amendments are intended to incorporate the revised application forms which provide for a one-time reduction in licensure fees. Additionally, form DOH-MQA 1072 (Medical Faculty Certificate), has been revised to reflect the name change for Mayo Clinic and the addition of Johns Hopkins.