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Get IL IL486-1880 2012

Nces. 1. Complete Parts II through V of application and the supplemental documentation. 2. Submit the appropriate $5 licensure fee. Make check or money order payable to the Department of Financial and Professional Regulation. Fee is not refundable. 3. Return application, supporting documents and fee to the below noted Springfield, Illinois, address. 4. Failure to properly complete the application will delay licensure. NOTE:  A mid-level practitioner controlled substances license will.

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