Government of the Virgin Islands
ORGANIZATIONGeneral Information on Application For Clinical Examination
ORGANIZATION4
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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
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
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
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
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
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
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
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
Entities connected to both Government of the Virgin Islands and General Information on Application For Clinical Examination
NO NATIONAL BOARD CREDIT
ORGANIZATIONTime Allotment
ORGANIZATIONExaminer
ORGANIZATIONthe VI Department of Health
ORGANIZATIONCenter for Disease Control
ORGANIZATIONthe District of Columbia
LOCATIONNational Board
ORGANIZATIONClinical Examination
ORGANIZATIONCora Lapuz-Adrovel
PERSON
Phoenix
LOCATIONDiploma
ORGANIZATIONthe Dental Board Office
ORGANIZATIONThe National Board of Dental Examination Part H
ORGANIZATIONP.O. Address
ORGANIZATIONComputerized National Board Part II
ORGANIZATIONstreet & city
ORGANIZATIONthe Computerized National Board Part II
ORGANIZATIONRea u irements
PERSONThe Computerized National Board Part II
ORGANIZATION