SPECULATOR VOLUNTEER AMBULANCE CORPS, INC.
The following individual(s) has a professional license or certificate which exempts him/her from the training requirements to administer medication. Copies of the individual(s) credentials are attached and will be sent to the Office. Name: License/ Certificate (check one): EMT-CC EMT-I EMT-P LPN. RN NP PA MD DO. A=Add. R=Remove. C=Change ................
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