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Great Equalization: Is MBBS From India Equal To M.D. In U.S.A?

Great Equalization: Is MBBS From India Equal To M.D. In U.S.A?

Great Equalization: Is MBBS From India Equal To M.D. In U.S.A?

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AAPI Journal • March 2009<br />

American Association of Physicians of <strong><strong>In</strong>dia</strong>n Origin<br />

MEMBERSHIP UPDATE<br />

(Please use UPPERCASE letters to update the form)<br />

First Name Middle <strong>In</strong>itial Last Name<br />

Primary Address (Home/Office) City/State/Zip<br />

Secondary Address (Home/Office)<br />

City/State/Zip<br />

Home Phone Office Phone Fax<br />

Email Address<br />

Medical School & State<br />

Name of Spouse if MD (Please submit another form with full details of the Spouse)<br />

……………………………………………………………………….......................<br />

Current <strong>In</strong>formation (If different from Above)<br />

First Name Middle <strong>In</strong>itial Last Name<br />

Primary Address (Home/Office) City/State/Zip<br />

Secondary Address (Home/Office)<br />

City/State/Zip<br />

Home Phone Office Phone Fax<br />

Email Address<br />

Medical School & State<br />

Signature Date<br />

Please send correspondence to: (by mail or fax)<br />

AAPI Executive Office<br />

vkodali@aapiusa.net<br />

Attn. Vijaya Kodali O: (630) 990-2277<br />

600 Enterprise Drive, Suite 108 F: (630) 990-2281<br />

Oak Brook, IL 60523<br />

32 www.aapiusa.org

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