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MARYLAND BOARD OF PHYSICIANS FOR BANK USE ONLY P.O. BOX 37217, BALTIMORE, MD 21297 DATE: / / 20 410-764-4777; 1-800-492-6836 CHECK NUMBER: APPLICATION FOR REPLACEMENT LICENSE AND WALL CERTIFICATE

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What is allied health replacement license?

The allied health replacement license is a document that allows individuals in the allied health field to replace their current license if it is lost, stolen, or damaged.

Who is required to file allied health replacement license?

Individuals in the allied health field who have lost, stolen, or damaged their current license are required to file for the allied health replacement license.

How to fill out allied health replacement license?

To fill out the allied health replacement license, individuals need to provide their personal information, including their full name, contact details, and the reason for needing the replacement license.

What is the purpose of allied health replacement license?

The purpose of the allied health replacement license is to provide individuals in the allied health field with a replacement document if their original license is lost, stolen, or damaged.

What information must be reported on allied health replacement license?

The allied health replacement license requires individuals to report their full name, contact details, and the reason for needing the replacement license.

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