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The institution which completes Section II must send this form directly to the Office of the Professions. Respiratory Therapy Form 2 The University of the State of New York THE STATE EDUCATION DEPARTMENT Office of the Professions Division of Professional Licensing Services 89 Washington Avenue Albany NY 12234-1000 CERTIFICATION OF PROFESSIONAL EDUCATION APPLICANT INSTRUCTIONS 1. Name of program Title Date of admission / / mo. Date of completion / / Title of credential conferred Type of...
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