Pa state board of licensure verification
Verification of Licensure In Other Jurisdiction (Word format)
PART II-TO BE COMPLETED BY THE STATE BOARD VERIFYING LICENSURE (Please complete this form and return it to the address indicated below. Attach copies of any verification of supervision or supervised experience toward LPC licensure. Name of Licensee. Licensure Level. License No. Date Issued. Hours of supervision and direct supervised clinical experience required for licensure held: …
Licensure Instructions and Application for Physician Assistant
the NCCPA, Inc., 12000 Findley Road, Suite 200, Duluth GA 30097; (678) – 417-8100. Verification of current certification may be mailed to the board office or emailed directly from NCCPA. Faxes are not acceptable. After initial licensure, you must maintain a current NCCPA status or you will not be considered licensed by the board. Personal copies of your certificate are not acceptable. Please ...
[DOCX File]students.pharmacy.pitt.edu
https://info.5y1.org/pa-state-board-of-licensure-verification_1_a22f41.html
PA Pharmacist Licensure Guide . Pitt Pharmacy Class of 2019. Contacts: Cheryl Sorensen - crs149@pitt.edu – 412-648-8574. Dr. Sue Skledar – sjs15@pitt.edu – 412-648-1504. PA State Board of Pharmacy 717-783-7156. Supplies needed: computer, printer, scanner, checklist, debit or credit card, patience. NOTE: You will not be able to pay your fees by cash, check, money order or wire transfer ...
[DOCX File]www.brynmawr.edu
https://info.5y1.org/pa-state-board-of-licensure-verification_1_9d7ddc.html
This handout was prepared for the student/applicant seeking PA State Board licensure. If outside of PA, please refer to your state social work regulatory board for guidelines. TO BE ELIGIBLE FOR THE MASTER’S LICENSING EXAM, THE APPLICANT MUST BE IN THEIR . FINAL. SEMESTER. OF A MASTER’S OR DOCTORAL DEGREE PROGRAM, OR HOLD A MASTER’S OR DOCTORAL …
[DOC File]Questions & Answers About Pennsylvania’s
https://info.5y1.org/pa-state-board-of-licensure-verification_1_6c362b.html
Submitted an application for licensure to the State Board. Paid the licensure fee. Submitted 2 certificates of recommendation on forms furnished by the Board . Signed the application, affirming and verifying that the information is correct. Hold a master’s degree in social work or social welfare or a doctoral degree in social work from a school accredited by the Council on Social Work ...
[DOC File]LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
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Louisiana State Board of Medical Examiners. 630 Camp Street, New Orleans, LA 70130 (504) 568-6820. Physician Assistant. Initial Licensure Application. Check. Initial Louisiana License Temporary License (recent graduate)
[DOC File]Medical Licensing Board of Indiana
https://info.5y1.org/pa-state-board-of-licensure-verification_1_471fe1.html
Your social security number is being requested by this state agency in accordance with IC 4-1-8-1. Disclosure is mandatory, and this record cannot be processed without it. A NOTE ABOUT LICENSURE & TEMPORARY PERMITS. Licensure is entirely at the discretion of the Medical Licensing Board of Indiana. Licensure in another state does not in any manner assure or guarantee licensure in Indiana. The ...
[DOC File]THE COMMONWEALTH OF MASSACHUSETTS
https://info.5y1.org/pa-state-board-of-licensure-verification_1_8771eb.html
directly to the Board by the state or other jurisdiction. For Massachusetts licenses only, the Board also accepts printed, self-queries of online verification of licensure from the following: Board of Registration in Dentistry, Board of Registration in Nursing, Board of Registration in Pharmacy, Board of Certification of Community Health Workers, Board of Registration of Genetic Counselors ...
[DOC File]LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
https://info.5y1.org/pa-state-board-of-licensure-verification_1_84c9f8.html
Louisiana State Board of Medical Examiners. Physician Assistant. Initial Licensure Application. Check. Initial Louisiana License Temporary License (recent graduate) FILL IN ONLINE PRIOR TO PRINTING. Name: First. Middle . Last. Suffix (Jr, Sr) List all other names under which you have ever been known: Social Security Number. Driver’s License # and Issuing State. E-mail Address. Marital Status ...
[DOCX File]students.pharmacy.pitt.edu
https://info.5y1.org/pa-state-board-of-licensure-verification_1_c2b220.html
Licensure . and Board Exam . Checklist. Information to have ready ahead of time: Have these documents ready for upload: CPR card (it should be posted on Castlebranch if you do not have it) APhA Immunization Course Completion Certificate. Have ready for use: PA Pharmacist Licensure Guide (screen shot) Handout . Pharmacy intern registration (license) number. Debit/credit card (account …
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