State of wisconsin medical license
[DOCX File]State Statutes Important for Public Health
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State emergency medical services activities. 256.12 Emergency medical services programs. 256.13 . ... Denial, nonrenewal and suspension of license, training permit or certification based on certain delinquency in payment. 256.18 . Denial, nonrenewal and revocation of license, certification or permit based on. ... State of Wisconsin ...
[DOC File]GN-3130: Examining Physician's or Psychologist's Report
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GN-3130, 11/19 Examining Physician’s or Psychologist's Report§54.36, Wisconsin Statutes . This form shall not be modified. It may be supplemented with additional material. Page 2 of 4. GN-3130, 11/19 Examining Physician’s or Psychologist's Report§54.36, Wisconsin Statutes . …
[DOC File]GN-3140: Statement of Acts by Proposed Guardian and ...
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Any license, certificate, permit, or registration that I am required to have under chs. 440 to 480, Wisconsin Statutes or by the laws of another state for the practice of a profession or occupation has been suspended or revoked:
[DOCX File]Application for Radioactive Material License for Medical Use
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Division of Public Health. F-45008 (Rev. 0. 5 / 10) State of . Wisconsin. Bureau of Environmental and Occupational Health. Radiation Protection Section (608) 267-4797
[DOC File]State of WisconsinAmbulance Operational Plan, DPH 7463
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Completion of this form is mandatory for licensure as an EMS provider. Updating and maintaining a current operational plan with the Department of Health and Family Services (DHFS) is required under Wisconsin Administrative Rule Chapters HFS 110, 111, 112 and 113 and s. …
[DOCX File]Medical Examination Review - Wisconsin Department of ...
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After we've reviewed this report, you may be required to file medical reports periodically. We will send you the forms at the time they are required. Wisconsin Department of Transportation. Medical Review. P.O. Box 7918, Madison, WI 53707-7918. Telephone: (608) 266-2327. FAX: (608) 267-0518. Email: dmvmedical@dot.wi.gov. Applicant Name Driver ...
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