My goal is to obtain your State License or Hospital Privileges as quickly as possible. I can do either or both for you.
Please click on the above ‘Download Forms’ button in order to obtain the forms necessary in order to begin the Licensure and/or Privileging process.
Once the forms are completed, please return them along with a copy of your current CV in mm/yyyy - mm/yyyy format along with any applicable narratives (claims, etc) to my firstname.lastname@example.org email address.
Once I receive your forms, CV and narratives (as applicable), I will review and reach-out to you for a quick overview of the process.
Please keep in mind that my goal is to obtain your License or Privileges as quickly as possible.
Much of this will depend upon the timely receipt of your accurate and thorough information when requested.
I can be reached at 919-803-2037 or email@example.com if I can provide you with any information.
Thank you for your interest in working with License Me, LLC.
I look forward to working with you!