Voluntary Consent Agreement Not to Practice Due to Medical Incapacity Sample Contracts

COMMONWEALTH OF MASSACHUSETTS
Voluntary Consent Agreement Not to Practice Due to Medical Incapacity • December 10th, 2015

The Massachusetts Board of Respiratory Care (Board) and Jane Flannery (Licensee), a Respiratory Therapist (RT) licensed by the Board, License No. RT4778, do hereby stipulate and agree that the following information shall be entered into and become a permanent part of the Licensee’s record maintained by the Board:

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