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DENTAL HYGIENE LICENSURE BY CREDENTIALS INFORMATION PACKET. This information packet includes the following: 1) A copy of the Dental Hygiene Licensure by Credentials General Statutes and board Rules 2) Application for Licensure by Credentials 3) Certificate of Licensure form 4) Affidavit 5) Fingerprint card and instructions (You must contact the board office for this information). **NOTICE**. It is your responsibility to review the rules and determine if you qualify for licensure by credentials BEFORE. submitting an application. Certain types of criminal history may result in a denial of a license by credentials.

APPLICATION FOR NORTH CAROLINA DENTAL HYGIENE LICENSURE BY CREDENTIALS MATERIALS TO BE SUBMITTED (Retain this Page for Your Records) The materials listed below must be received by the Board office as a complete package, with each document in an

  Carolina, North, Board, North carolina

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