1. State of California—Health and Human Services Agency
California Department of Public Health
KAREN L. SMITH, MD, MPH EDMUND G. BROWN JR.
Director and State Health Officer Governor
You will receive by mail your official certificate and card within 2 – 6 weeks after approval.
You and your potential employer can visit our website at http://cdph.ca.gov/lfs under verification
within 2 – 3 weeks after approval date of your license.
Applicant Information:
Name: Chang, Michelle Chi-I
DELETED
FOR
PERSONAL
PROTECTION
License Category: Certified Phlebotomy Technician (CPT 1)
Previous Applied: No
Submit Date: 03/05/2015
FOR DEPARTMENTAL USE ONLY
Permanent license number: CPT 74885
File ID number 196588
Issue Date: 05/01/2015
Expiration Date: 05/01/2017
Issued By: SO
Personnel Licensing and Certification/Laboratory Field Services, 850 Marina Bay Parkway Bldg. P 1st
. Flr. Richmond, CA 94804 - 6403
Telephone - (510) 620 – 3800 Fax - (510) 620 - 3822
Internet Address: http://www.cdph.ca.gov/programs/lfs/Pages/default.aspx