Search results with tag "Physician assistant application for licensure"
B. Certification of Physician Assistant License/Registration/Permit Issued (PA-94-II-B) Forward a copy of this form to each state where you were licensed or are currently licensed as a . physician assistant. PROOF. C. Certification of Good Standing (PA-94-II-D)
PROOF. Checklist. III. Transcripts: Verification of Education A. Physician Assistant Program IV. Curriculum Vitae V. Application Fee Personal check or money order payable to the Physician Assistant Advisory Committee, in the amount of