Hawaii Revised Statutes Division 2. Business § 453-7

The form of license to practice medicine and surgery shall be substantially as follows:

․․․․․․․․․․․․․․․․․․․․․ , having been duly examined by the Hawaii Medical Board, and having been found to be possessed of the necessary qualifications, is hereby licensed to practice medicine and surgery in the State of Hawaii.

This license is granted and accepted on the express condition that it may be revoked at any time for any of the causes enumerated in section 453-8, Hawaii Revised Statutes, which cause or causes shall have been proven to the satisfaction of the Hawaii Medical Board.

Given under the seal of the Hawaii Medical Board this ․․․․․․․․․․ day of ․․․․․․․․․․․․․․․․․․․ , A.D. ... ․․․․․․․

The form of temporary and limited license to practice medicine and surgery shall be substantially as follows:

․․․․․․․․․․․․․․․․․․․․ , having been duly considered by the Hawaii Medical Board, and having been found to be possessed of the necessary qualifications, is hereby temporarily licensed to practice medicine and surgery in the State of Hawaii, subject to the following conditions and limitations: ․․․․․․․․․․․․․․․․․․․

․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․

This temporary and limited license is granted and accepted on the express condition that it may be revoked at any time for any of the causes enumerated in section 453-8, Hawaii Revised Statutes, or for any violation of the conditions and limitations contained herein.

Given under the seal of the Hawaii Medical Board this ․․․․․․․․․․ day of ․․․․․․․․․․․․․․․․․․․․ , A.D. .... ․․․․․․․․․․․․․․․․