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01. Edit your california radiology license application online
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How to use or fill out California Radiology License Application with DocHub
- Click ‘Get Form’ to open the California Radiology License Application in our editor.
- Begin by entering your full legal name in the designated fields for Last Name, First Name, and Middle Name. Ensure accuracy to avoid issues with your application.
- Fill in your Date of Birth and Social Security Number. Remember, providing your social security number is mandatory for identification purposes.
- Complete the contact information section by entering your Phone Number, Mailing Address, E-mail Address, City, State, and Zip Code.
- Indicate whether you are submitting a current California Diagnostic/Therapeutic Radiologic Technology Certificate number or an ARRT Certificate attached to your application.
- If applicable, provide documentation of education and training equivalent to that of a radiologic technologist fluoroscopy school curriculum as specified in the form.
- Review all entered information for accuracy before signing and dating the application at the bottom of the form.
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