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Enter the following fields as required:
AGENCY (Key)EMPLOYEE SSN (Key)NO (Key)- Enter a three-digit line number for each license or membership entered. Updated records display in sequential order.
LICENSE/MEMBERSHIP NAME (Required)- Enter the name or an abbreviation of the employee’s professional license or membership.
REGISTRATION NUMBER (Optional)- The registration number for the license or membership the employee holds.
EFFECTIVE DATE (Optional)- The date the employee’s license or membership became effective.
RENEWAL DATE (Optional)- The date the employee’s license or membership is due for renewal.
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