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(036) PERMANENT ILLINOIS PHYSICIAN LICENSE
The permanent license is on a three-year cycle not tied to the application date. All expire July 31, 2020. IMPORTANT: If you decide to apply before
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STATE OF ILLINOIS CERTIFICATE OF DEATH
Physician in attendance at the time of death only: To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner
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Physician Written Certification Form
The physician written certification form is required for all qualifying patients EXCEPT for a qualifying patient who is a veteran receiving treatment for a
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