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STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE DHMH OFFICE OF HEALTH CARE QUALITY OHCQ Form Approved 10/14/2014 DHMH Form AMDC. 4. AFFIDAVIT I solemnly affirm under the penalties of perjury and upon personal knowledge that the contents of the foregoing prosecution civil money penalties and/or the revocation of any license issued to me by the DHMH. I certify that this agency is in compliance with the provisions of Health-General Article Title 19 Subtitle 3 Annotated Code of Maryland...
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