ENDORSEMENT (RECIPROCITY) APPLICATION FOR LPN / RN
New Jersey Department of Health Nursing Home Administrators Licensing Board Mailing Address: Overnight Services (UPS, FedEx, Airborne): PO Box 358 25 South Stockton Street, 2nd Floor Trenton, NJ 08625-0358 Trenton, NJ 08608-1832 REQUEST FOR RECIPROCITY VERIFICATION OF OUT-OF-STATE LICENSURE STATUS SECTION I - TO BE COMPLETED BY APPLICANT ................
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