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Reactivation Application Forms

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

(*For Reactivation of licenses within 3 months after the renewal deadline, use "Applications for Reactivation of Licenses Expired or Inactive for less than 5 years" below.* )

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

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