Winter 2001 Newsletter - e-archives Home - dspace kdla ky-2025

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  1. Click ‘Get Form’ to open the Winter 2001 Newsletter in the editor.
  2. Begin by reviewing the 'Change of Address Form' located on the back page. This section allows you to update your mailing and practice address, ensuring that your information is current.
  3. Fill in your KY License Number, name, and contact details accurately. Make sure to provide both mailing and alternate addresses if applicable.
  4. For the renewal of your medical license, locate the relevant questions on the form. Answer each question truthfully, especially those regarding criminal convictions or disciplinary actions since your last renewal.
  5. If you answer 'yes' to any questions, prepare a brief explanation for submission. This will help clarify any concerns during the review process.
  6. Once all fields are completed, review your entries for accuracy before signing where indicated. Ensure that all required documentation is attached before submission.

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