Volume 741, Page 161 View pdf image |
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HARRY HUGHES, Governor 161 (D) APPLICATION FORM. THE FORM PROVIDED BY THE BOARD FOR INACTIVE STATUS (1) NAME; (2) INACTIVE STATUS REGISTRATION NUMBER, IF ANY; (3) DEGREE; (4) SCHOOL THAT AWARDED THE DEGREE; (5) YEAR OF GRADUATION; (6) HOME ADDRESS; (7) PRINCIPAL OFFICE ADDRESS; (8) PRINCIPAL OFFICE TELEPHONE NUMBER; AND (9) WHETHER OR NOT THE INDIVIDUAL IS IN REGULAR (E) REACTIVATION; WAIVER OF EXAMINATIONS. THE BOARD SHALL WAIVE THE EXAMINATION REQUIREMENTS OF (1) A DENTIST ON INACTIVE STATUS WHO APPLIES FOR (2) A DENTAL HYGIENIST ON INACTIVE STATUS WHO REVISOR'S NOTE: This section is new language derived The references in this section to the Board The term "registration" is used instead of terms |
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Volume 741, Page 161 View pdf image |
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