Verify a license pa
[DOCX File]COMMONWEALTH OF PENNSYLVANIA
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1)Verify the name and license number on the License Renewal Notice. 2)If the Licensee transacts business under an assumed trade name, provide the full name in the space below. Individuals cannot assume the name of a partnership or corporation.
Verify a Professional - Pa Department of State
have worked in a licensed profession or applied for a professional license in PA; OR; moved to PA in the last 5 years. Please help us improve the licensure process for new Pennsylvanians by taking our survey, which is available in: English, Arabic, Chinese, French, Hindi, Korean, Russian, Spanish and Vietnamese.
[DOCX File]FEDERAL TAX ID (EIN) NUMBER
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Verify the name and license number on the License Renewal Notice. Provide a copy of any new fictitious name filing from the Pennsylvania Department of State. Attach a completed Biographical Affidavit for each officer, director and office manager that has not previously submitted such an affidavit.
[DOC File]PENNSYLVANIA DEPARTMENT OF HEALTH
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PA License #: Name of ALS Service: License Expiration Date: List . all. ambulance services with which you have had medical command authorization in the past five (5) years. If necessary, please use a separate sheet of paper. Name of Service Dates with Service . ALS Service Medical Director . Telephone Number Name of Service Dates with Service
[DOT File]IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, …
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Pursuant to 75 Pa.C.S.A. § 1550(b)(1)(i), Appellant is retaining driver’s license until final determination of the suspension of operating privilege. Pursuant to 75 Pa.C.S.A. § 1550(b)(1)(ii), a hearing attended by the Appellant must be held before the Court of Common Pleas …
[DOCX File]CREDENTIALS OF EMERGENCY DEPARTMENT PHYSICIANS
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Verify current license and check all credentials. (PAs: check appropriate box; NP: specify ACPNP, PCPNP, PCCNP, ENP, FPNP or Alternate Criteria; CNS: specify pediatric certification) Nurse Practitioners shall have completed a Pediatric NP, Emergency NP or Family Practice NP program.
[DOCX File]c_291492
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May 13, 2018 · Yes, the Department chose 10 calendar days for the licensee to return the POC. It is important to receive a POC from the provider in a timely manner. Since many organizations that we license operate 24/7 facilities, 10 calendar days is a reasonable time period to receive your response.
[DOC File]MEDICAL COMMAND AUTHORIZATION APPLICATION
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(Applicant has had previous medical command authorization within PA). Verify continuing education requirements met. Verification of competence to perform all services within the individual’s scope of practice. Check at least one of the following: ( Direct observation. Consult suitable physician(s), PHRN(s), or
[DOCX File]DOH - ACRC Approval Application
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I also certify that the acute care hospital named in this Application has provided information to verify that it holds a valid hospital license with the Department of Health. A false statement made in this Application is punishable under the applicable provisions of 18 Pa. C.S. Ch. 49 (relating to falsification and intimidation).
[DOC File]PFBC-715 (08/02)
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FISHING LICENSE ISSUING AGENCY. Mail To: PA Fish & Boat Commission, Division of Licensing & Registration . PO Box 67000, Harrisburg, PA 17106-7000. Web site: www.fishandboat.com. NOTE: PLEASE VERIFY ALL QUESTIONS HAVE BEEN ANSWERED. Incomplete applications will be returned. Attach supplemental data when additional space is required for your reply.
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