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