Any dental hygienist duly licensed by the North Carolina State Board of Dental Examiners,
desiring to move from North Carolina to another state, territory or foreign country,
if a holder of a certificate of renewal of license from said Board, upon application
to said Board and the payment to it of the fee in this Article provided, shall be
issued a certificate showing her full name and address, the date of license originally
issued to her, the date and number of her renewal of license, and whether any charges
have been filed with the Board against her. The Board may provide forms for such certificate, requiring such additional information
as it may determine proper.
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