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Showing 1-10 of 16 Results
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Form
63 Reference - Georgia Lactation Consultant Practice Act_0
63 Reference - Georgia Lactation Consultant Practice Act_0 Board of Lactation Consultants30.00618 -
Form
63 Reference - Georgia Lactation Consultant Practice Act
LACTATION CONSULTANT PRACTICE29.899694 -
Form
63 Application - Application for Inactive Status
Lactation Consultants8.525909 -
Form
63 Reference - Instructions for Applicant Fingerprint Background Check
Lactation Consultant field print fingerprint7.4743695 -
Form
63 Application - Application for Licensure
Licensure As a Lactation Consultant7.4498134 -
Form
Roster Requests
Rosters come in Text format along with instructions on downloading into Excel. The rosters contain license number, name, city, state, zip, county, issue date, and expiration date.0.92067254 -
Form
Background Consent
99 form background consent0.92067254 -
Form
Petition for Rule Variance or Waiver
Division gov/ / PETITION FOR RULE VARIANCE OR WAIVER0.92067254 -
Form
Secure Verifiable Document Cover Sheet
PROFESSIONAL LICENSNG BOARDS DIVISION DOCUMENT SUBMISSION COVER SHEET0.91112554 -
Form
99 Form - Name-Address-Email Change Individuals Only
PROFESSIONAL LICENSING BOARDS DIVISION NAME & ADDRESS CHANGE REQUEST FORM0.91112554