Article IV of the constitution says “full faith and credit shall be given in each state to public acts, records, etc.” if true why are many professional licenses and certifications (Ex: teacher and medical certificates) not valid across state lines?

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Article IV of the constitution says “full faith and credit shall be given in each state to public acts, records, etc.” if true why are many professional licenses and certifications (Ex: teacher and medical certificates) not valid across state lines?

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