The Director shall prescribe the form of the Health Certificate that shall provide information, including the certificate holder=s name, date of birth, photograph, authorized activity and the dates of issuance and expiration.

SOURCE: GC § 9520.1. Repealed/reenacted by P.L. 25-120:2 (Mar. 24,
2000), effective 180 days after enactment pursuant to P.L. 25-120:9.