The following form is used by the Board and is hereby adopted and incorporated by reference, and can be obtained from the Board office by writing to the Board of Medicine, 4052 Bald Cypress Way, Bin #C03, Tallahassee, Florida 32399-1753, or by telephoning (850)245-4131:
DH-MQA 1093, entitled “”Anesthesiologist Assistant Licensure Renewal Form,”” (8/06).
Rulemaking Authority 456.013, 458.3475 FS. Law Implemented 456.013, 458.3475 FS. History-New 4-17-01, Amended 11-20-01, 8-13-02, 11-10-02, 3-19-03, 6-4-03, 11-17-03, 4-19-04, 1-31-05, 9-29-05, 6-29-06, 12-26-06, 4-2-07, 6-25-08, 1-18-09, 3-17-09, 5-20-09, 10-7-09, 1-7-10, 2-2-10, 12-6-10, 12-27-11, 2-28-12, 1-27-13, 8-5-13, 11-10-13, 1-9-14, 3-10-14, 7-15-14, 9-10-14, 12-2-14, 2-22-15, 3-17-15, 5-19-15, 9-28-15, 8-14-16.

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