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Get State Education Department-Affidavit Of Non-Compensation - Mcms

Affidavit of Non-Compensation Name The University of the State of New York THE STATE EDUCATION DEPARTMENT Office of the Professions Division of Professional Licensing Services 89 Washington Avenue Albany NY 12234-1000 www. op.nysed.gov Last First Middle Address Apt. /Bldg. Street City State Province/Country If not U.S. Zip Code Physician License Number I am applying for a waiver of the fee for the registration of my license as a physician in the .

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