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ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD CHANGE OF OWNERSHIP APPLICATION FOR EXEMPTION 04/2021 Edition Springfield Clinic, LLP. Additional Items for Application: 1. Page 1 with Springfield

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How to fill out www2illinoisgov sites hfsrbnotice of

01

Visit www2.illinois.gov

02

Navigate to the HFSRB Notice Of section

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Fill out the required fields with accurate information

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Who needs www2illinoisgov sites hfsrbnotice of?

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Individuals who are filing a notice of appeal or complaint with the Illinois Health Facilities and Services Review Board

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www2illinoisgov sites hfsrbnotice is a notice of filing required by the Illinois Health Care Worker Registry Board.

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The purpose of www2illinoisgov sites hfsrbnotice is to ensure that health care workers in Illinois meet the necessary requirements and are eligible to practice.

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Information such as personal details, employment history, and certification or licensing information must be reported on www2illinoisgov sites hfsrbnotice.

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