(a) The name, age and residence of each applicant;
(b) The date of the application;
(c) The place of professional practice of the applicant;
(d) A summary of the educational and other qualifications of the applicant;
(e) Whether or not an examination was required;
(f) Whether or not a license was granted;
(g) The date of the action of the board;
(h) Any other information as may be deemed necessary or advisable by the board in aid of the above requirements.
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