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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.

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300 Indiana Avenue, NW, Room 5059, Washington , DC 20001
Phone: (202) 727-9099
Fax: (202) 727-4106
TTY: 711
Email: mpd@dc.gov

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