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Get Nys Nursing License Application

Ction and provide appropriate information in the columns below. A Form 3 (found on our Web site at www.op.nysed.gov/nurseforms.htm) must be submitted for each license/certificate listed unless it is a license/certificate issued by the New York State Education Department. See the Applicant Instructions on Form 3 for specific information about completing and submitting the form. Professional Title State or Jurisdiction Date License/Certificate Issued License/Certificate Number Limitations On L.

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