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medical license - examination vs endorsement?


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Hello,

I am applying for a PA medical license in Washington state. It asks me to list my previous licenses from other states. It then asks if the basis of my license was examination (and date of exam) or endorsement.  I have never had to answer this question before when completing a medical license application. Does anyone know what this means? I don't want to leave any necessary information blank; however I do not know what to put.

 

Thanks!

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