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Dear Doctor:
Our office is in receipt of your request to reinstate your license to practice medicine and surgery. Our records indicate that your
license was expired or placed on inactive status.
In
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How to fill out our office is in:
01
Start by entering the full address of your office in the designated field.
02
Double-check the accuracy of the address to ensure it is complete and free of any errors.
03
If applicable, provide additional details about the office, such as building or suite numbers, to further specify the location.
04
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05
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01
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02
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03
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04
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