North carolina medical board application

    • [DOC File]NORTH CAROLINA SOCIETY OF EYE PHYSICIANS AND …

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      Have you had any disciplinary actions take or pending by any state medical lisencing boarD or hospital? Yes____ No____ Please provide explanation on a separate sheet and return with application. professional affilations 1 2 3 Hospital affiliations 1 2 3 Please list the names of two sponsors who are active members of the society.

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    • [DOC File]MEETING OF THE CLINICAL PHARMACIST PRACTITIONER …

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      Year Pharm.D. Clinical Training 21 NCAC 46.3101(b) provides: CPP application for approval. (1) The requirements for application for CPP approval include that the pharmacist: (A) has an unrestricted and current license to practice as a pharmacist in North Carolina; …

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    • [DOC File]NC DHSR MCC: Application for Project Financing Assistance

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      N.C. Medical Care Commission N.C. Medical Care Commission. 809 Ruggles Drive 2701 Mail Service Center. Raleigh, North Carolina 27603 Raleigh, North Carolina 27699-2701. Telephone: (919) 855-3750 Fax: (919) 733-2757. For electronic delivery, please email to: Geary.Knapp@dhhs.nc.gov. 1

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    • [DOC File]North Carolina Health Insurance Plans | Blue Cross NC

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      Uniform Application. To Participate as a Health . Care Practitioner. Note: Please send completed applications directly to the. organizations with which you seek to contract. The following application is a form approved by the North Carolina Department of Insurance, in accordance with North Carolina General Statute 58-3-230.

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    • [DOC File]Available Reports

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      21 NCAC 32B .1502 APPLICATION FOR MEDICAL SCHOOL FACULTY LICENSE (a) The Medical School Faculty License is limited to physicians who have expertise that can be used to help educate North Carolina medical students, post-graduate residents, and fellows but who do not meet the requirements for physician licensure.

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    • MEMORANDUM

      On October 26, 2011, the Respondent’s attorney notified the North Carolina Medical Board (North Carolina Board) that the Respondent had been arrested. 3. On January 8, 2012, the Respondent was arrested at his home in Currituck County, North Carolina and charged with Assault on a Female.

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    • [DOC File]STATE OF NORTH CAROLINA

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      8. Petitioner filed a claim for Long-Term Disability benefits under the Disability Income Plan of North Carolina with the Department of State Treasurer, Retirement Systems Division. On April 20, 2010, the Plan’s Medical Board approved Petitioner’s application with an effective date of April 6, 2010.

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    • [DOC File]North Carolina Medical Board

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      The NPDB and HIPDB report must be dated within sixty (60) days of submission of your application to the NCMB. You will need to send the notarized “self -query” form to the National Practitioner Data Bank address. They will forward the report to you and you will need to send the report to the North Carolina Medical Board.

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    • [DOC File]State Requirements for Criminal Background Checks 11/03

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      Pennsylvania ** Rhode Island ** South Carolina ** Only for direct care givers with home care, nursing homes, adult day care, or residential care homes South Dakota ** Tennessee ** Mandatory for Medicaid waiver programs for non-medical services. Texas ** Required for unlicensed direct care staff, administrator/CEO and CFO.

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    • [DOC File]UNIVERSITY OF NORTH CAROLINA HOSPITALS

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      Send application to the Chairman of the Radiation Safety Subcommittee: Marija Ivanovic, Ph.D. CB# 7510. Department of Radiology. University of North Carolina. Chapel Hill, NC, 27514-7510. Phone: (984) 974-7779. Fax: (984) 974-4497. Email: Marija.Ivanovic@unchealth.unc.edu. III.2. Application for Human Use of Ionizing Radiation in Research ...

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