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/Yr. Date of Last Recertification Mo. /Yr. Board Subboard If any of the ABMS Certifications or Recertifications were received after your last application with the Board please attach copies of documents evidencing your Certifications or Recertifications. 0151 or outside the state of Nevada. submit a report or filing false information in a report is grounds for disciplinary action under Nevada s Medical Practice Act. 244. Printed Name of Applicant/Licensee Signature of Applicant/Licensee...
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A physician assistant - medical is a healthcare professional who is licensed to practice medicine under the supervision of a licensed physician.
Physician assistants - medical are required to file for licensure and renewal.
To fill out the physician assistant - medical application, candidates must provide personal information, educational background, work experience, and submit any required documentation.
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