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Nursing credentials verification form
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![Noted by:<br />FLORES B. STA. CRUZ RN, MAN<br />Clinical Coordinator<br />Eastern Samar State University,<br />College of Nursing<br />Date Signed: <br />Degree:<br />PRC NO: <br />Valid Until: <br />,[object Object],Valid Until: <br />Concurred by:<br />CLEOFE B. ANG RN, MAN<br />Chief Nurse<br />Eastern Samar Provincial Hospital<br />Date Signed: <br />Degree:<br />PRC NO: <br />Valid Until: <br />,[object Object],Valid Until: <br />Approved by:<br />RUTH G. AGUILAR RN, MAN<br />Dean<br />Eastern Samar State University,<br />College of Nursing<br />Date Signed: <br />Degree:<br />a.) PRC NO: <br /> Valid Until: <br />b.) PNA NO: <br />Valid Until: <br />c.) ADPCN NO: <br /> Valid Until: <br />](https://image.slidesharecdn.com/casesignatoriesesph-100813002851-phpapp01/85/case-signatories-esph-1-320.jpg)
