the District of Columbia
LOCATIONGeneral Information on Application For Clinical Examination
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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
tate Board: Date: Page 7 of 11 EFTA00587165 VIRGIN ISLANDS BOARD OF DENTAL EXAMINERS STATEBOARD LICENSING EXAMINATION (Please read carefully) General Information on Application For Clinical Examination I . Good professional demeanor is expected of all candidates. 2. All instructions presented will be strictly adhered to. 3. Candidates will provid
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
of 10 EFTA_R1_02124417 EFTA02711067 Date: VIRGIN ISLANDS BOARD OF DENTAL EXAMINERS STATEBOARD LICENSING EXAMINATION (Please read carefully) General Information on Application For Clinical Examination I. Good professional demeanor is expected of all candidates. 2. All instructions presented will be strictly adhered to. 3. Candidates will provide
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
of 10 EFTA_R1_02124472 EFTA02711099 Date: VIRGIN ISLANDS BOARD OF DENTAL EXAMINERS STATEBOARD LICENSING EXAMINATION (Please read carefully) General Information on Application For Clinical Examination I. Good professional demeanor is expected of all candidates. 2. All instructions presented will be strictly adhered to. 3. Candidates will provide
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
1313 BOARD SEAL Title: State Board: Date: VIRGIN ISLANDS BOARD OF DENTAL EXAMINERS STATEBOARD LICENSING EXAMINATION (Please read carefully) General Information on Application For Clinical Examination I. Good professional demeanor is expected of all candidates. 2. All instructions presented will be strictly adhered to. 3. Candidates will provide
Entities connected to both the District of Columbia and General Information on Application For Clinical Examination

Phoenix
LOCATIONExaminer
ORGANIZATIONthe VI Department of Health
ORGANIZATIONCenter for Disease Control
ORGANIZATIONNational Board
ORGANIZATIONClinical Examination
ORGANIZATIONGovernment of the Virgin Islands
ORGANIZATIONDiploma
ORGANIZATIONthe Dental Board Office
ORGANIZATIONTime Allotment
ORGANIZATIONNO NATIONAL BOARD CREDIT
ORGANIZATIONCora Lapuz-Adrovel
PERSONP.O. Address
ORGANIZATIONThe National Board of Dental Examination Part H
ORGANIZATIONthe Computerized National Board Part II
ORGANIZATIONstreet & city
ORGANIZATIONComputerized National Board Part II
ORGANIZATIONRea u irements
PERSONThe Computerized National Board Part II
ORGANIZATION