ALJDEC

99F-12678-MDX · Board of Medical Examiners · 1999-08-23

IN THE OFFICE OF ADMINISTRATIVE HEARINGS

|«Matter Notes» | | No. «Matter Matter ID» | | | |RECOMMENDED DECISION | | | |OF ADMINISTRATIVE | | | |LAW JUDGE | | | | |

HEARING: APPEARANCES: ADMINISTRATIVE LAW JUDGE: «Professional Full Name» _____________________________________________________________________

Done this day, «Matter Opened Date: July 4, 1996»

______________________________________ «Professional Full Name» Administrative Law Judge

Original transmitted by mail this ____ day of ____________, 1999, to:

«Client Contact Address Block: (Once) Type Mailing»

By ___________________________