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Certification of Appointment to a Michigan Training Hospital Medicine Form

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The document is a certification form for appointing an applicant to a Michigan training hospital, which must be submitted by the Director of Medical Education. It includes sections for the applicant's personal information and details about the training program, including accreditation status. The form emphasizes non-discrimination and provides contact information for the Bureau of Professional Licensing.

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Versions	Form popularity	Fillable & printable
2022	4.6 Satisfied (32 Votes)
2021	4.9 Satisfied (38 Votes)
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2020	4.3 Satisfied (140 Votes)
2020	4.9 Satisfied (42 Votes)
2020	4.8 Satisfied (55 Votes)
2020	4.4 Satisfied (231 Votes)
2019	4.8 Satisfied (152 Votes)
2019	4.6 Satisfied (38 Votes)
2017	4.8 Satisfied (119 Votes)
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2017	4 Satisfied (58 Votes)
2016	4.2 Satisfied (60 Votes)
2016	4.2 Satisfied (44 Votes)
2016	4.9 Satisfied (47 Votes)

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What is a medical doctor educational limited license in Michigan?

The medical doctor educational limited license type is for individuals engaged in postgraduate training. A limited license for postgraduate shall require that the individual confine his or her practice and training to a hospital or institution approved by the board for the training.

How do I change the name of my pharmacy license in Michigan?

If changing the name of the pharmacy, complete the Application for Miscellaneous Pharmacy Change form. If the location of the pharmacy has changed, complete the Application for Pharmacy License form. Both forms can be obtained online. MANUFACTURER/WHOLESALER: DO NOT use this form for a name and/or address change.

How do I change my name on my Michigan adjuster license?

Section 1206(5) of the Michigan Insurance Code, MCL 500.1206(5), requires licensees to notify the Director of a change of legal name within 30 days of the change. A new license is automatically sent to the licensee or agency when a name change is processed. No fees are charged for processing a name change.

How do I change my name on my medical license in Michigan?

Name and address changes must be completed through your MIPLUS account by submitting a modification. You are required to upload supporting documentation such as a drivers license, marriage certificate, divorce decree, or court order for all name changes.

What documents do I need to change my name on my license in Michigan?

What documents do you need? Your current, valid photo ID. Your certified name change document (marriage certificate or name change court order) Your new Social Security card with your new name.

What is the phone number for Michigan medical license?

Alternatively, you can also call the BPL at 517-241-0199 or email them at BPLHelp@michigan.gov to request license verification.

What is the background check for a Michigan medical license?

Applicants for licensure in Michigan are required to undergo a Criminal Background Check (CBC) and provide evidence of fingerprint processing from an authorized agency.

How do I change the address on my Michigan medical license?

All individual licensees must use the Contact Change Request (CCR) page on the NIPR website. Click on the Change button to access the CCR page. Licensure information must be displayed on the NAIC PDB in order to use the CCR.

Get the up-to-date Certification of Appointment to a Michigan Training Hospital Medicine Form 2025 now

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Got questions?

What is a medical doctor educational limited license in Michigan?

How do I change the name of my pharmacy license in Michigan?

How do I change my name on my Michigan adjuster license?

How do I change my name on my medical license in Michigan?

What documents do I need to change my name on my license in Michigan?

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People also ask

What is the phone number for Michigan medical license?

What is the background check for a Michigan medical license?

How do I change the address on my Michigan medical license?

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Get the up-to-date Certification of Appointment to a Michigan Training Hospital Medicine Form 2025 now

Here's how it works

How to quickly redact Certification of Appointment to a Michigan Training Hospital Medicine Form online

See more Certification of Appointment to a Michigan Training Hospital Medicine Form versions

Complete this form in 5 minutes or less

Got questions?

What is a medical doctor educational limited license in Michigan?

How do I change the name of my pharmacy license in Michigan?

How do I change my name on my Michigan adjuster license?

How do I change my name on my medical license in Michigan?

What documents do I need to change my name on my license in Michigan?

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People also ask

What is the phone number for Michigan medical license?

What is the background check for a Michigan medical license?

How do I change the address on my Michigan medical license?

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