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SUPERVISED WORK EXPERIENCE DOCUMENTATION FORM Complete a separate form for each job title the CI held, and submit with a copy of the interns job description to: Texas Department of State Health Services
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What is Professional Licensing and Certification Unit LCDC Form?

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Professional licensing and certification is a process where individuals are required to obtain a license or certification in order to practice in a specific profession.
Professionals in certain fields such as medicine, law, engineering, and accounting are required to file for professional licensing and certification.
To fill out professional licensing and certification, individuals must provide information about their educational background, work experience, and pass any required exams.
The purpose of professional licensing and certification is to ensure that individuals practicing in certain professions have the necessary skills and qualifications to provide quality services.
Information such as educational background, work experience, and any relevant certifications or licenses must be reported on professional licensing and certification.
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