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A certificate of live birth is prepared by a hospital for data entry purposes, then sent to the local governmental entity that prepares a birth certificate. Quoting Difference Between Birth Certificate And Certificate Of Live Birth: For most purposes of identification, people use the Birth Certificate as the original document.
While both processs require training and testing, and each attest to an individual's engineering knowledge, skills and abilities, the key difference is that certification is generally voluntary while licensing is mandated by law.