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Page 1: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

Page 2: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

Page 3: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

Page 4: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

Page 5: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

Page 6: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

Page 7: 613975371 - Healthgrades · Master Case No.. Document: 1889 STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504 M2016-502 ... 4.2 Petition to Resume Practice. Respondent

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