Voluntary Surrender of EMS Medic AND/OR EMS Instructor License

Department of Public Health, Georgia Immunization Registry

This government document is issued by Department of Public Health, Georgia Immunization Registry for use in Georgia

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File Details: PDF (133 KB)
Source
https://dph.georgia.gov/document/document/voluntary-surrender-form-medic-and-instructor-7-6-2022-fillablepdf/download

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