State of Maryland Department of Labor Maryland Board for Professional Engineers 1100 N. Eutaw St Baltimore, Maryland 21201 (410) 230-6322 (Baltimore area), (888) 218-5925 (toll free) |
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I. APPLICANT MUST COMPLETE THIS SECTION: |
BOARD OF PRIOR LICENSURE
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II. THE ABOVE NAMED PERSON WAS LICENSED AS: | |||||
LICENSE NUMBER |
DATE ISSUED |
VALID UNTIL |
DATE APPLIED |
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PROFESSIONAL ENGINEER |
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III. THIS LICENSURE WAS BASED UPON: | |||
1. | WRITTEN EXAMINATION: | hrs. P&P | hrs. OTHER (EXPLAIN ON OTHER SIDE) |
NO YES | hrs. FE (EIT) | Date (Mo/Yr) FE | |
2. | ORAL EXAMINATION: | hrs. P&P | |
NO YES | DISCIPLINE EXAMINED IN: | ||
3. | COMITY WITH: | (1) (2) | |
4. | EDUCATION AND EXPERIENCE: Were your state's requirements equal to, or more demanding at the time this person became licensed than Maryland's requirements which, from June 1,1967 to present, have been: |
EDUCATION | EXPERIENCE | ||||||||
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OR | |||||||||
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OR | |||||||||
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NO |
YES |
If the applicant was licensed with your Board prior to June 1, 1967, please list the requirements in effect at that time on the second page. | ||||||||||
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