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Reinstatement Forms

pdf file Checklist and General Information for Reinstatement

pdf file Physician Reinstatement Application

pdf file Form B1 - Reference Form - Reinstatement of Physician Licensure

pdf file Form C1 - Verification Reinstatement

pdf file Form E1 - Malpractice Reinstatement

pdf file Form G1 - Power of Attorney Reinstatement

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