Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS
Appendix I - Credentials of General/Trauma Surgeons Level I and Level II Pediatric Trauma Centers
Universal Citation: 77 IL Admin Code ยง I
Current through Register Vol. 48, No. 12, March 22, 2024
List each surgeon by name
Check appropriate requirements met
Signed by CEO/Hospital Administrator
Surgeon Name |
Meets requirements of Section 515.2035(b) or 515.2045(b) |
Meets requirements of Section 515.2035(c) or 515.2045(c) |
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_______________________________________
Signature
Hospital CEO/Administrator
__________________________________________________
Typed NameDate
Hospital CEO/Administrator
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