To Assist Applicants:
Law enforcement agencies perform fingerprinting services. Also private fingerprinting services are listed in the “Yellow Pages” or online. Contact the agency or company nearest you to determine cost and hours of availability. Make sure they have and use only plain white card with blue lines. Clearance Cards are not acceptable.
SELF SERVICE:
TO CHANGE AN ADDRESS / OR PRINT DUPLICATE
LICENSE GO TO "ONLINE RENEWAL" ENTER YOUR LICENSE
NAME AND THE LAST 4 DIGITS OF YOUR SS # TO
PROCEED WITH THE REQUEST.
Applications
Medical License Application
Certificate to Dispense Application
Medical Assistant Certificate Application
Engage In Clinical Training
Engage in Precept. Training Application
Citizenship/Alien Status Documentation State Law A&B List
Renewals
Annual Medical License Renewal
Engage in Clinical Training Renewal
Reinstatement for Medical License
Miscellaneous Forms
Complaint Form
Public Information Request
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