I am trying to help a friend who completed school in DR at the Nacidit International Academy. She has her Certificate from there. My question is this...In the United States, after we complete school and receive our cretificate, we are required to take and pass an examination with the State Board in order to a license. Is that the same requirement in DR? Is a state exam required after completing the school course work? If so, can someone give me information on how to contact that governing body?