This government document is issued by Perfusionists Board of Examiners (0343) for use in Oklahoma
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https://www.google.com/url?client=internal-element-cse&cx=011016168438751653346:hresk_9zb-o&q=https://www.okmedicalboard.org/respiratory_care_practitioners/download/416/PR_Form_6.pdf&sa=U&ved=2ahUKEwjE-9XP8IiWAxUGRKQEHTRlMBc4ChAWegQIBxAB&usg=AOvVaw2_avPCgbN_0_S21d57uL_n&fexp=121575042,121575040