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Application Forms and Information

Reactivation Applications

These Reactivation Applications cannot be used for the purpose of renewing a current license.  

If you are reactivating a license with discipline, please contact the Board office.

COVID-19 Applications for Reactivation of Licenses Expired or Inactive for less than 5 years

COVID-19 Application for Reactivation of a Practical Nurse/Registered Nurse License that has been Expired or Inactive for Less than 5 Years

COVID-19 Application for Reactivation of a Certified Registered Nurse Practitioner Certification that has been Expired or Inactive for Less than 5 Years

COVID- 19 Application for Reactivation of a Clinical Nurse Specialist Certification that has been Expired or Inactive for Less than 5 Years

COVID-19 Application for Reactivation of a Licensed Dietitian-Nutritionist License that has been Expired or Inactive for Less than 5 Years

COVID-19 Application for Reactivation of a Pennsylvania CRNP Prescriptive Authority Approval that has been Expired or Inactive for Less than 3 Years

Applications for Reactivation of Licenses Expired or Inactive for 5 years or more

Application for Reactivation of a Practical Nurse/Registered Nurse License that has been Expired or Inactive for Five Years or More

 Verification of Opioid Education

Verification of Nurse Practitioner Program

Verification of Advanced Pharmacology

New Graduates - The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Endorsement - (Individuals holding a nursing license in another state, jurisdiction or country) - The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Social Security Waiver

Verification of Licensure

Clinical Nurse Specialist - The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Licensed Dietitian-Nutritionist - The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

Volunteer Licenses