Transcription of LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) …
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LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) …
_Application_. WARNING: Board Rules state that an lpsp . LIMITED PURPOSE SCHEDULE II PERMIT ( lpsp ) may be suspended or revoked by the FOR certified registered nurse PRACTITIONERS; Board upon a finding that an individual certified nurse MIDWIVES AND PHSYICIAN ASSISTANTS has furnished false or fraudulent material information in this application. Return Completed Application To: ALABAMA STATE BOARD OF MEDICAL EXAMINERS. Mailing Address: Physical Address: Box 946 848 Washington Ave Montgomery, AL 36101 Montgomery, AL 36104. Part A: Name in full: _____ _____ _____. First Middle Last Permanent address: _.
_Application_ LIMITED PURPOSE SCHEDULE II PERMIT (LPSP) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS; CERTIFIED NURSE MIDWIVES AND PHSYICIAN ASSISTANTS has furnished false or fraudulent material
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