All sections of the form are mandatory and must be completed. Incomplete forms will not be accepted and will be denied. If you have any questions you may contact the board office at (775) 787-3421.
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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