School Board / COUNTY BOARD OF HEALTH NOMINEE Serving Term Beginning / Fiscal Court / KENTUCKY DEPARTMENT FOR PUBLIC HEALTH BIOGRAPHICAL SHEET / Division of Administration / STEPHANIE SCHWEIGHARDT DIVISION OF ADMINISTRATION / /
Person
STEPHANIE SCHWEIGHARDT / / /
Position
__Physician __Dentist __Registered Nurse __Optometrist __Engineer __Veterinarian / Representative / General Information ______Miss ______Mrs / ___Physician ___Dentist ___Registered Nurse __Optometrist ___Engineer ___Veterinarian ___Pharmacist Kentucky License/Registration Number / /
KENTUCKY DEPARTMENT FOR PUBLIC HEALTH BIOGRAPHICAL SHEET - COUNTY BOARD OF HEALTH NOMINEE Serving Term Beginning January 1, _____ through December 31, ______ (2 year term) PLEASE PRINT ALL INFORMATION AND