Creating a Report: Check the sections you'd like to appear in the report, then use the "Create Report" button at the bottom of the page to generate your report. Once the report is generated you'll then have the option to download it as a pdf, print or email the report.
Application to Practice as a Polysomnographic Technologist in Virginia, online application at https://www.license.dhp.virginia.gov/apply/
Form B, Employment Activity (rev. 7/2017)
Form B Supplemental Form (rev. 09/2018)
Form C, Verification Form (rev. 8/2013)
Application to Reactivate an Inactive License for a Polysomnographic Technologist (rev. 10/2018)
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