APPOINTMENT DATE: October 16, 2024 (03:00 PM TO 04:00 PM) - PRC Butuan
OR: E2024-10-09721367 | AMOUNT: PHP 75.00
Professional Regulation Commission
ACTION SHEET FOR CERTIFICATION
Oct 15, 2024
DATE FILED: _________________________________
EUNICE JOELLE MEDINA DE LOS REYES
NAME: _______________________________________________________________________________________________________________
MEDICAL TECHNOLOGIST
PROFESSION: ___________________________________________________________________ LEVEL: ______________________________
0127350
LICENSE NO.: _____________________ Oct 11, 2024
DATE REGISTERED: _________________________ Jun 17, 2027
DATE OF EXPIRATION:____________________
1
NO. OF COPIES: __________ (P75.00/copy)
for whatever legal purpose it may serve.
PURPOSE: ___________________________________________________________________________________________________________
REFERENCE NUMBER:
CESZFUBGS0KM
NOTE: CERTIFICATION REQUIRES A VALID/CURRENT PROFESSIONAL IDENTIFICATION CARD.
CERTIFICATION CLAIM SLIP
SLIP
APPOINTMENT DATE: October 16, 2024 (03:00 PM TO 04:00 PM) - PRC Butuan
OR: E2024-10-09721367 | AMOUNT: PHP 75.00
EUNICE JOELLE MEDINA DE LOS REYES
NAME: ______________________________________________________ MEDICAL TECHNOLOGIST
PROFESSION: ___________________________________________
0127350
LICENSE NO.: ________________________________________________ Oct 11, 2024
DATE REGISTERED: ______________________________________
Oct 15, 2024
DATE FILED. _________________________________________________ DATE DUE: ______________________________________________
REFERENCE NUMBER:
CESZFUBGS0KM
REG-05
Rev. 01
September 5, 2016
Page 1 of 1