TX Form L 2002 free printable template

FORM L PHYSICIAN LICENSURE EVALUATION Texas State Board of Medical Examiners APPLICANT SECTION APPLICANT: Complete the information in this box. This form is to be returned to you in a sealed institution

Name at time of affiliation. Full Address including Zip Code: Telephone Number: (For any hospital/medical center), if current: Date of last renewal or termination of affiliation: A. Physician s name. s name B. Physician s current telephone number s current telephone number C. Physician s current address, including ZIP code s current address, including ZIP code D. Physician s name, if new: D.A.: Date of last licensure (last renewal/termination of affiliation) or Date of last licensure (last renewal/termination of affiliation) or A.A.: Date of licensure by accreditation (last renewal/termination of affiliation) F. Current license, if new: F.A.: Current license and A.A. Include any additional information that you believe may affect your decision. If you are applying for licensure to serve as a family or group practice internist and your professional affiliation is listed within an accredited medical school within the state, please submit this information for approval by the state board of medical examiners. NOTE: Applicant s Current Full Name is the name that appears on the applicant's medical license or medical license application. Please note that applicants not affiliated with any medical school or facility outside of Texas, including in-state applicants for residency in Texas, shall use the name and photograph that they used when applying for licensure.

People Also Ask about online l form 2002

What is the history of Schreiner University Texas?

Founded in 1923, Schreiner is an independent and coeducational university with a rich history steeped in Texas heritage and tradition. The school was founded by Captain Charles Schreiner; a Hill Country rancher, merchant and former Texas Ranger.

What is the religious affiliation of Schreiner University?

SCHREINER-AT-A-GLANCE Religious Affiliation: Presbyterian Church (U.S.A.)

What kind of school is Schreiner University?

Schreiner University is a private Presbyterian university in Kerrville, Texas. The university enrolls an estimated 1,300 undergraduate and graduate students. It offers over 40 four-year undergraduate programs, an MBA and a master of education. Established in 1923, it has been coeducational since 1932.

What is the Texas Center for Infectious Diseases?

The Texas Center for Infectious Disease (TCID) is a public health facility of the Texas Department of State Health Services for the treatment of Tuberculosis. TCID's Outpatient Clinic also serves as one of the state's Hansen's Disease clinics.

What is the mission statement of Schreiner University?

We offer undergraduate and graduate students a personalized, integrated, and holistic educational experience that prepares them for meaningful work and purposeful lives in a changing global society.

Is Schreiner University a good school?

Schreiner University's ranking in the 2022-2023 edition of Best Colleges is Regional Universities West, #73. Its tuition and fees are $35,614.

For pdfFiller’s FAQs

What is online l form?

The online l form is a digital platform where individuals can submit their tax information electronically.

Who is required to file online l form?

Any individual or entity who meets the criteria set by the tax authority is required to file online l form.

How to fill out online l form?

To fill out the online l form, you need to access the tax authority's website, create an account, and enter the required information as per the instructions provided.

What is the purpose of online l form?

The purpose of the online l form is to collect and report tax information in a convenient and efficient manner.

What information must be reported on online l form?

The specific information required to be reported on the online l form varies depending on the tax authority's regulations. It typically includes details such as income, deductions, credits, and any other relevant financial information.

When is the deadline to file online l form in 2023?

The exact deadline to file the online l form in 2023 may vary depending on the tax authority. It is recommended to refer to the official website or guidelines provided by the tax authority for the specific deadline.

What is the penalty for the late filing of online l form?

The penalty for late filing of the online l form is determined by the tax authority. It may include monetary fines or other consequences as per their regulations. It is advisable to consult the tax authority's guidelines for the specific penalty details.

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