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