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Print License/Update Information

Licensees are responsible for notifying the Board of changes in any information listed below. Board correspondence will always be sent to the most recent address/email on file in our system.

  • Address
  • Email
  • Phone
  • Name
  • Employment
  • Sponsor

Please do not use the back button in your browser. If at any time you wish to exit the online form, please click the "Exit" button located at the bottom of the page.

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Please enter your login information below.

If you have a Dispensing Endorsement, Provisional or Apprentice License make sure to add either Dispensing, Provisional or Apprentice after your license number. Example A-000 Dispensing, SP-0000 Provisional, or HAS-000 Apprentice

Enter full License # (e.g. SP-000, A-000, HAS-000)



Page Updated: 3/3/2020 12:41:28 PM