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be assessed for practicing after your license expires. License #: Name: Address:  CHECK IF NEW ADDRESS City/State/Zip: COSMETOLOGY LICENSE YOU MUST CHECK A BOX BELOW:  ACTIVE $118 …
Authors: System Account, Kris Chiles Date: 11/13/2014 Size: 204KB

http://dhhs.ne.gov/publichealth/Licensure/Documents/CosAndCosInstrRenewal.pdfView duplicates

If you have any criminal charges or license disciplinary actions pending that results in conviction or license discipline, you are required to report such …
Authors: System Account, Lmitchel Date: 4/18/2014 Size: 348KB

http://dhhs.ne.gov/publichealth/Documents/baapp.pdf

BY THE DEPARTMENT PRIOR TO YOUR SERVICES LICENSE BEING RENEWED. You will be notified by the … Email Address Service Contact Person License Telephone # Service Personnel including RNs …
Authors: System Account, Bill Wisell Date: 10/27/2014 Size: 208KB

http://dhhs.ne.gov/publichealth/Licensure/Documents/EMSQAReport.pdf

Revised form for 2014 fee increase
Authors: System Account Date: 6/30/2014 Size: 166KB

http://dhhs.ne.gov/publichealth/Documents/marriage.pdf

and preschool programs receive a Provisional License for their first year of operation. To … NAME Page 2 of 345 EFFECTIVE DATE LICENSE NUMBER 68002 Washington BRUHN, BONNIE 335 NORTH …
Authors: System Account Date: 11/21/2014 Size: 1MB

http://dhhs.ne.gov/publichealth/Documents/ChildCareRoster.pdf

Updated application to replace previous per Jennifer Van … must: 1. Have a current Registered Nurse license in Nebraska or a multi-state license from another compact state under the Nurse …
Authors: System Account, Cmarx Date: 6/25/2014 Size: 427KB

http://dhhs.ne.gov/publichealth/Licensure/Documents/APRNNPapp.pdfView duplicates

Child Care and Development Fund (CCDF) Plan For Nebraska FFY 2014-2015 1.1 Contact Information The agency shown below has been designated by the Chief Executive Officer of the State …
Authors: System Account Date: 12/24/2013 Size: 253KB

http://dhhs.ne.gov/publichealth/Documents/ChildCareDevelopmentFundPlan.pdf

for Business: PIC Information: Name: License #: Expiration date: ACCOUNTING Business Unit 25550346 APPLICATION FOR LICENSE TO OPERATE AN IN-STATE PHARMACY 2 …
Authors: System Account, Annette Deets Date: 2/28/2014 Size: 156KB

http://dhhs.ne.gov/publichealth/Licensure/Documents/ComPharmApp.pdf

ATTACHMENT 4.18-A Page 1 STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT State Nebraska COST-SHARING FOR THE CATEGORICALLY NEEDY Effective October 24, 2011, the Nebraska Medical …
Authors: System Account, Jessica Miller Date: 10/28/2014 Size: 1MB

http://dhhs.ne.gov/medicaid/Documents/Part3.pdfView duplicates

STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT ATTACHMENT 1.1-A MEDICAL ASSISTANCE PROGRAM State of Nebraska ATTORNEY GENERAL'S CERTIFICATION I certify that: TheNebraska …
Authors: System Account, Sue Schata Date: 11/4/2014 Size: 1MB

http://dhhs.ne.gov/medicaid/Documents/Part2.pdfView duplicates