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Attached, please find an application to practice as a Locum Tenens physician in the State of Maine.
The Application must be completed and submitted to the address on the application with notarized photocopies of both your medical school diploma and a current state license which does not expire for at least the next six months. The fee for a Locum Tenens license is $200 for a 6-month period.
A letter of need from the hospital or insitution requiring your services must be submitted by the hospital or institution directly to this office. The letter must include specific dates, not to exceed 6 months.
The Application for Locum Tenens is in Adobe format. If you do not have Adobe Acrobat Reader you can download if for free at www.adobe.com or you can call the office at the number listed below and we will send an application to you. In addition, the statute governing the licensing of Locum Tenens osteopathic physicians in Maine can be found at http://janus.state.me.us/legis/statutes/32/title32sec2574-1.html.
Please feel free to contact me at (207) 287-2480 if you have any questions regarding this application. If I am unable to take your call, please leave a message and I'll get back to you as soon as possible.
Susan E. Strout
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