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Application Forms - Pennsylvania Department of State

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Application-Forms.aspx
    Fax - (717) 787-7769. [email protected]. Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary …

Physician and Surgeon (MD) Applications - Pennsylvania …

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Applications---Physician-and-Surgeon-(MD).aspx
    Application for a License to Practice Medicine without Restriction for Graduates of Unaccredited (International) Medical Schools (PDF) Application for Temporary License …

Renewal Forms - Pennsylvania Department of State

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Renewal-Forms.aspx
    Pennsylvania Department of State > Professional Licensing > Boards & Commissions > Medicine > Renewal Forms. Renewal Forms. Licenses expire December 31 of every …

Welcome to the Pennsylvania Licensing System (PALS)

    https://www.pals.pa.gov/
    PALS can help you apply for, renew, and check your professional license. How do I get started? A good starting point is to use our application checklist to see all of the …

Other Board Forms and Services - Pennsylvania …

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Other-Board-Forms-and-Services.aspx
    * Notification Regarding Online LOGS Requests (PDF) Hospital Administrator Information - Making Changes to Issued Licenses Changing Dates and/or Specialty Video Changing …

State Board of Medicine Navigator

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Medicine-Guide.aspx
    State Board of Medicine Navigator. The purpose of the State Board of Medicine Guide is to provide transparency, inform applicants of expected timelines for receiving your …

Physician & Surgeon Licensure Requirements Snapshot

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Physician-Surgeon-Licensure-Requirements-Snapshot.aspx
    An extraterritorial license authorizes a medical doctor who possesses a license to practice medicine and surgery without restriction or an equivalent license to practice medicine …

CME Requirements - Pennsylvania Department of State

    https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/CME-Requirements.aspx
    Fax - (717) 787-7769. [email protected]. Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary …

Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    The Initial Reporting Form can be used by emergency rooms or other health care personnel who do not have access to the patient’s medical history or do not have …

Forms - Department of Health

    https://www.health.pa.gov/topics/certificates/Pages/Forms.aspx
    Forms Click on the form name to access the applicable form. Mail a completed copy to the Division of Vital Records. Adoptee's Application for Noncertified Copy of Original Birth …



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