Form 445108 Ambulatory Surgical Treatment Center Renewal Licensure - Illinois

Form 445108 Ambulatory Surgical Treatment Center Renewal Licensure - Illinois

What Is Form 445108?

This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 445108?
A: Form 445108 is the Ambulatory Surgical Treatment Center Renewal Licensure form in Illinois.

Q: Who needs to fill out Form 445108?
A: Ambulatory Surgical Treatment Centers in Illinois need to fill out Form 445108 for renewal licensure.

Q: What is the purpose of Form 445108?
A: The purpose of Form 445108 is to renew the licensure of Ambulatory Surgical Treatment Centers in Illinois.

Q: Is there a fee for submitting Form 445108?
A: Yes, there is a fee associated with submitting Form 445108 for Ambulatory Surgical Treatment Center renewal licensure.

Q: What information is required on Form 445108?
A: Form 445108 requires information such as the facility name, address, contact information, and compliance with regulations.

Q: When is Form 445108 due?
A: Form 445108 is typically due on or before the expiration date of the current license.

Q: Are there any additional documents required with Form 445108?
A: Yes, additional documents such as proof of compliance with regulations and inspection reports may be required with Form 445108.

Q: Who should I contact for more information about Form 445108?
A: For more information about Form 445108, you can contact the Illinois Department of Public Health.

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Form Details:

  • The latest edition provided by the Illinois Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 445108 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Form 445108 Ambulatory Surgical Treatment Center Renewal Licensure - Illinois

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