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LARA/LPH-065 (02/14) Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Health Licensing Division PO Box 30670 Lansing MI 48909 (517) 335-0918 www.michigan.gov/healthlicense
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LARA LPH 065 is a form used for reporting certain information related to regulated professions and occupations in the state of Michigan.
Individuals or entities holding a license or registration in a regulated profession or occupation in Michigan may be required to file LARA LPH 065.
LARA LPH 065 should be filled out with accurate information related to the regulated profession or occupation, following the instructions provided on the form.
The purpose of LARA LPH 065 is to collect and report information regarding licensed professionals and regulated occupations in Michigan for regulatory and oversight purposes.
Information such as license or registration number, contact details, professional activities, and any disciplinary actions or complaints may need to be reported on LARA LPH 065.
The deadline to file LARA LPH 065 in 2023 is typically on or before a specific date set by the Michigan licensing board or regulatory agency.
Penalties for late filing of LARA LPH 065 may include fines, suspension of license or registration, or other disciplinary actions as determined by the licensing board or regulatory agency.
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