Reference: Ref-09826

Reference Name: SPA-5
Agency: 64 Department of Health
64B20 Board of Speech-Language Pathology and Audiology

Original Document(s):
8/3/2018 Form SPA-5 (rev. 4/18), Application for Renewal of Provisional Licensure
Modified Document(s): No Modified document(s).
Description: Form SPA-5 (rev. 4/18), Application for Renewal of Provisional Licensure
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
64B20-5.005
Requirements for Renewal of Provisional License 20831252 Effective:
09/12/2018