Epstein Secrets

ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun

f passport size, autographed across the back. • A certified check, bank money order or U.S. Postal money order in the amount of $65.00, payable to Government of the Virgin Islands. This fee is non-refundable. • Chronology of professional activities from graduation to time of application. • Proof of graduation from an ADA ac

ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun

f passport size, autographed across the back. • A certified check, bank money order or U.S. Postal money order in the amount of $65.00, payable to Government of the Virgin Islands. This fee is non-refundable. Page 1 of 10 EFTA_R1_02124412 EFTA02711062 • Chronology of professional activities from graduation to time of appl

ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun

f passport size, autographed across the back. • A certified check, bank money order or U.S. Postal money order in the amount of $65.00, payable to Government of the Virgin Islands. This fee is non-refundable. Page 1 of 10 EFTA_R1_02124467 EFTA02711094 • Chronology of professional activities from graduation to time of appl

ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun

f passport size, autographed across the back. • A certified check, bank money order or U.S. Postal money order in the amount of $65.00, payable to Government of the Virgin Islands. This fee is non-refundable. Page 1 of 11 E FTA_R 1_02124827 EFTA02711308 • Chronology of professional activities from graduation to time of ap