Reference: Ref-09827

Reference Name: DH-SPA-2A
Agency: 64 Department of Health
64B20 Board of Speech-Language Pathology and Audiology

Original Document(s):
8/3/2018 Form DH-SPA-2A (rev. 10/12), Verification of Employment for a Provisional Licensee
Modified Document(s): No Modified document(s).
Description: Form DH-SPA-2A (rev. 10/12), Verification of Employment for a Provisional Licensee
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