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Get CA Medical Board Request For Copy Of 805 Report 2015-2024

Uant to Business & Professions Code 805.5) Requestor Information Is the requesting entity an LVS user? If yes, enter Facility Log In If not, indicate the type of requesting entity: Health care facility licensed by California Dept. of Public Health (DPH) (H&S Code Div. 2, 1200) PLEASE ATTACH A COPY OF THE LICENSE ISSUED Health care service plan licensed by Dept. of Managed Health Care (DMHC) - enter license # Medical care fo.

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