Reference Name: |
Health Care Licensing Application, Nurse Registry, AHCA Form 3110-7004, March 2016 |
Agency: |
59 Agency for Health Care Administration 59A Health Facility and Agency Licensing |
Modified Document(s): |
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3/9/2018
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Correction to the street number of the mailing address on last page of the application from 272 Mahan Dr to 2727 Mahan ...
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Adopted Document(s): |
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6/28/2016
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Application form used to apply for or amend a nurse registry license
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Proposed Document(s): |
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6/24/2016 |
Application form used to apply for or amend a nurse registry license
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Description: |
Application form used to apply for or amend a nurse registry license |
Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.
Rules/Notices using this Reference Material
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Notice / Adopted |
Section |
Description |
ID |
Publish Date |
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Final
59A-18.004
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Licensure Requirements, Procedures, and Fees |
17806695
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Effective: 08/09/2016
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