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MEDICAL RENEWAL APPLICATION FORMS

Forms to be used only for renewal and restoration of license

Emergency Medical Technician - Basic Renewal Application Form
Emergency Medical Technician - Paramedic Renewal Application Form
Osteopathic Physician and Surgeon Renewal Application Form
Physician Renewal Application Form
Physician - Government Renewal Application Form
Physician Assistant Renewal Application Form (Active Status)
Physician Assistant Renewal Application Form (Inactive Status)
Podiatrist Renewal Application Form

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Licensing Administrator

Celia Suzuki

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