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Get CA CDSS LIC 508B 2011-2024

RECORD STATEMENT Long-Term Care Ombudsman Program Persons submitting an application to participate in the Long-Term Care Ombudsman Program must be fingerprinted and disclose any conviction(s). A conviction is any plea of guilty or nolo contendere (no contest) or a verdict of guilty. The fingerprints will be used to obtain a copy of any criminal history you may have. Have you ever been convicted of a crime in California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES N.

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