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HRLA Health License Application Form

The following web form is designed to allow health License Application applicants to submit an application to DOH for license approval. This would replace the current paper form in use.


Department of Insurance, Securities and Banking

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Office Hours
Monday to Friday, 8:15 am to 4:45 pm, except District holidays

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810 First Street, NE, Suite 701, Washington, DC 20002
Phone: (202) 727-8000
Fax: (202) 535-1196
TTY: 711

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