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Rev. July 2010 Approved by Kentucky Board of Dentistry 312 Whittington Parkway, Suite 101 Louisville, KY 40222 502/429-7280 http://dentistry.ky.gov FOR KID USE ONLY DUPLICATE LICENSE OR REGISTRATION

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What is duplicate license or registration?

A duplicate license or registration is a replacement for a lost, stolen, or destroyed license or registration.

Who is required to file duplicate license or registration?

Any individual or entity who has lost their license or registration is required to file for a duplicate.

How to fill out duplicate license or registration?

To fill out a duplicate license or registration, you can visit the relevant licensing authority's website or office and complete the necessary application form.

What is the purpose of duplicate license or registration?

The purpose of a duplicate license or registration is to provide a replacement for the original document that has been lost, stolen, or destroyed.

What information must be reported on duplicate license or registration?

The required information for a duplicate license or registration may include personal details such as name, address, date of birth, and any relevant identification numbers.

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