This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DOH Form 669-193?
A: DOH Form 669-193 is the Licensed Practical Nurse Expired/Inactive Reactivation Application form in Washington.
Q: Who can use the DOH Form 669-193?
A: Licensed Practical Nurses in Washington who have an expired or inactive license can use the DOH Form 669-193 to apply for reactivation.
Q: What is the purpose of the DOH Form 669-193?
A: The purpose of the DOH Form 669-193 is to apply for reactivation of an expired or inactive Licensed Practical Nurse license in Washington.
Form Details:
Download a printable version of DOH Form 669-193 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.