Skip Navigation LinksPennsylvania Department of State > Professional Licensing > Boards & Commissions > Medicine > Other Board Forms and Services

Board Forms and Services

 
 
Address Change (PDF) - You may also update your address at www.mylicense.pa.gov.
 
Duplicate License Request (PDF) - You may also request a duplicate license online at www.mylicense.pa.gov.
 
NOTE:  As a result of document fraud and in an effort to protect its licensees, the Board will only provide direct source verification of your license to another state licensing agency.
 
Status Change (PDF) - Physicians
 
Status Change (PDF) - Allied Health Professionals