Laserfiche WebLink
O_, OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT <br />FACILITIES DEVELOPMENT DIVISION <br />7 <br />TEST TECHNICIANS (Continued) <br />Provide Following Information for Each Test Technician Employed by the Agency (Attach <br />additional sheets if needed) <br />*To update expiration date a renewal application for OPAA and proof of renewal for certification/license shall be required <br />Test Technician's <br />Name <br />Certification/ <br />License Type <br />Certification/ <br />Licensing Agency <br />Certification/ <br />License Number <br />Expiration Date* <br />Comments <br />Test Technicians with expired license shall not be permitted to perform Tests. <br />"Access to Safe, Qualitv Healthcare Environments that Meet California's Diverse and Dvnamic Needs" <br />OSHPD <br />STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY <br />OSH-FD-OPAA-100 (6/24/2016) <br />3/28/2017 <br />OPAA-0010-16 <br />Page 11 of 19 <br />