Well, did she do a good job?
This is the real issue, isn't it?
Licensing by the state is supposedly for the purpose of preventing injury to the citizenry from incompetent work. It also artificially restricts the supply of people who do such work, thereby benefiting everyone who has state approval.
This state licensing business has expanded across many different disciplines, and both the State and the existing businesses benefit from it. The State gets revenue and power, while the individuals in the various industries get state protection from their competition.
For several years now, I have come to question whether state licensing is a good thing or a bad thing, and there is quite a lot of evidence for the bad side of it.
Perhaps Medical care is so expensive because the state artificially restricts the supply?