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 Repealed/reenacted by P.L. 25-120:2 (Mar. 24, 2000), effective 180 days after enactment pursuant to P.L. 25-120:9.