APPOINTMENT DATE: June 22, 2022 (09:00 AM TO 10:00 AM) - Robinsons Starmills
OR: E2022-06-01937851 | AMOUNT: PHP 75.00
Professional Regulation Commission
ACTION SHEET FOR CERTIFICATION
Jun 21, 2022
DATE FILED: _________________________________
EMELITO JR PINEDA GUTIERREZ
NAME: _______________________________________________________________________________________________________________
NURSE
PROFESSION: ___________________________________________________________________ LEVEL: ______________________________
0567609
LICENSE NO.: _____________________ Aug 25, 2009
DATE REGISTERED: _________________________ Jun 30, 2025
DATE OF EXPIRATION:____________________
1
NO. OF COPIES: __________ (P75.00/copy)
for whatever legal purpose it may serve.
PURPOSE: ___________________________________________________________________________________________________________
REFERENCE NUMBER:
CEKF17EMA5IY
NOTE: CERTIFICATION REQUIRES A VALID/CURRENT PROFESSIONAL IDENTIFICATION CARD.
CERTIFICATION CLAIM SLIP
SLIP
APPOINTMENT DATE: June 22, 2022 (09:00 AM TO 10:00 AM) - Robinsons Starmills
OR: E2022-06-01937851 | AMOUNT: PHP 75.00
EMELITO JR PINEDA GUTIERREZ
NAME: ______________________________________________________ NURSE
PROFESSION: ___________________________________________
0567609
LICENSE NO.: ________________________________________________ Aug 25, 2009
DATE REGISTERED: ______________________________________
Jun 21, 2022
DATE FILED. _________________________________________________ DATE DUE: ______________________________________________
REFERENCE NUMBER:
CEKF17EMA5IY
REG-05
Rev. 01
September 5, 2016
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