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Nurse Form 5

Nurse Form 5

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Application for Limited Permit Applicant Instructions 1. A limited permit authorizes practice as a nurse under the immediate and personal supervision of a New York State licensed, currently registered, registered professional nurse and with the endorsement of the employer. Complete Section I. Be sure to sign and date item 11 on page 2.

  Form, Applications, Limited, Nurse, Permit, Application for limited permit, Limited permit, Nurse form 5

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