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Get Personal Affidavit Of Professional Practice For Endorsement Applicants - Op Nysed

L HYGIENIST PERSONAL AFFIDAVIT OF PROFESSIONAL PRACTICE FOR ENDORSEMENT APPLICANTS APPLICANT INSTRUCTIONS Please note: Only applicants who are licensed in another state need to complete this form. See instructions for additional information. 1. Complete this form in ink and send it to the address at the end of the form. In item 4, be sure to list all professional activities chronologically since graduation from professional school to the present. Vacation periods, and periods of unemployment mu.

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