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Get Hawaii Dental License By Credentials Form

Application must be answered. ATTENTI ON : ALL SUPPORTING DOCUMENTS MUST BE MAILED WITH COMPLETED APPLICATION IN ONE PACKAGE TO THE BOARD OFFICE. O.C.G.A 43-11-41 and Board Rule 150-7-.04 give the specific requirements for provisional licensure by credentials. These laws and rules may be found on the board s website at www.sos.state.ga.us/plb/dentistry. In order to verify your compliance with licensure requirements submit: 1. Completed application form accompanied by a fee of $3,000.00 (s.

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