![](https://www.pdfsearch.io/img/5c36cd0ddccfab722408f91115e0188a.jpg) Date: 2014-04-15 14:15:59
| | Rhode Island Department of Health 3 Capitol Hill, Providence RI, MANDATORY ADDENDUM TO LICENSE APPLICATION Tax Payer Status Affidavit / Identity Verification All persons applying or renewing any license, regisAdd to Reading ListSource URL: www.health.ri.govDownload Document from Source Website File Size: 98,61 KBShare Document on Facebook
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