Natalia Gambaryan

The Department of Health maintains all licensing for all medical services. The Medical Board shall be resposible for the issuance of licenses which is an independent body within the Department of Health. Please review the information contained in this section before proceeding.

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Natalia Gambaryan
Posts: 2
Joined: January 21st, 2019, 6:45 pm

Natalia Gambaryan

Post by Natalia Gambaryan » February 7th, 2019, 8:18 am


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STATE OF SAN ANDREAS
REQUEST FOR MEDICAL RECIPROCITY


  • SECTION ONE - PERSONAL INFORMATION

  • 1. TITLE: Dr.
    2. FULL NAME: Natalia Gambaryan

    3. DATE OF BIRTH: 11/13/1983
    4. PLACE OF BIRTH: Los Santos, San Andreas
    5. AGE AT TIME OF APPLICATION: 35

    6. PHONE NUMBER: 588-2390
    7. E-MAIL ADDRESS: [email protected]
    8. DOMESTIC ADDRESS: 1209 Temple Drive, Los Santos, San Andreas

  • SECTION TWO - PERSONAL HISTORY

  • 9. HAVE YOU EVER GONE BY ANOTHER NAME? IF YES, LIST ALL THAT ARE APPLICABLE BELOW:
    1. No.
    10. HAVE YOU EVER BEEN CONVICTED OF BREACHING ANY OF THE SAN ANDREAS LAW OR THAT OF ANOTHER COUNTRY?: IF YES, EXPLAIN IN THOROUGH DETAIL:
    1. No.
    11. LIST ALL AND ANY EDUCATION THAT YOU HAVE ENROLLED IN. ADD MORE FIELDS IF NEEDED:
    • NAME OF HIGH SCHOOL: West Los Santos High School
      YEAR GRADUATED: 2002
      DEGREE(S) EARNED: High school diploma

      NAME OF COLLEGE: University of Washington
      YEAR GRADUATED: 2006
      DEGREE(S) EARNED: Bachelor of Science in Biology

      NAME OF MEDICAL SCHOOL: University of Washington
      YEAR GRADUATED: 2010

      TYPE OF MEDICAL DOCTOR: MEDICAL DOCTOR (M.D.)
      MCAT SCORE (COMPLEX-USA SCORE IF D.O): 508
      RESIDENCY LOCATION: Harborview Medical Center
      SPECIALIZATION: Internal Medicine
      AFFILIATIONS AND OR BOARD CERTIFICATIONS: American Board of Internal Medicine

      12. LIST ALL AND ANY PREVIOUS EMPLOYMENT. ADD MORE FIELDS IF NEEDED:
      • NAME OF EMPLOYER: Dr. Charles Russo
        PLACE OF EMPLOYMENT: Harborview Medical Center
        OFFICIAL COMPANY TITLE: Physician
        JOB DESCRIPTION: Performing physical examinations, diagnosing and treating various ailments
        DATE EMPLOYED: February 2011
        DATE DISCHARGED: November 2018
        REASON OF DISCHARGE: Moved back to San Andreas.

    • SECTION THREE - LICENSING BASED QUESTIONS

    • 13. WHAT SORT OF PRACTICE/PROFESSION ARE YOU AIMING TO PURSUE IF LICENSED?:
      • [ ] NURSING
        [X] DOCTOR
      14. HAVE YOU EVER BEEN TRAINED IN BASIC LIFE SUPPORT AND/OR INTERMEDIATE LIFE SUPPORT?:
      • [ ] YES (WHO WAS THIS PROVIDED BY?: ANSWER)
        [X] NO
      15. PLEASE EXPLAIN IN FURTHER DETAIL WHY YOU WISH TO ACQUIRE A LICENSE TO PRACTICE MEDICINE:
      • I moved to Washington to pursue higher education as an undergrad and later on as a med student at University of Washington. Upon graduating and then completing my residency at Harborview Medical Center, I was offered full-time employment. I accepted the position and made Washington my second home. I served the Seattle community as a healthcare provider for several years, from 2011 to 2018. In that time, I worked with some of the most qualified providers in the state. Sometime last year, I decided to move back home to Los Santos to reunite with my family and our community in these trying times. With my experience working for the Harborview Medical Center in Washington, I plan on continuing to serve as a healthcare provider, which is why I am applying for my San Andreas medical license. Once I receive licensure, I plan on looking into opening up a doctor's office.

    • SECTION FOUR - DECLARATION

    • I, Natalia Gambaryan, hereby declare that all of the information stated within this application is true and is as accurate to my knowledge as possible. I accept that, should I be found to have lied regarding any information, I am subject to immediate disciplinary action without question. I also affirm that I understand that, should my license be accepted, I am required to learn and follow acts up to and regarding the Hippocratic Oath. This declaration also serves as a confirmation that I have filled in all aforementioned details on my own and not by another.
      DATE: 07/FEB/2019
      SIGNATURE: Natalia Gambaryan

Radiant
State Medical Board
Posts: 108
Joined: February 20th, 2018, 5:38 pm

Re: Natalia Gambaryan

Post by Radiant » February 15th, 2019, 10:01 pm

(( Natalia deicded to close the application)).

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