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Reinstatement Form

All sections of the form are mandatory and must be completed. If you have any questions you may contact the board office at (775) 787-3421.

Reinstatement of Expired License: $200.00

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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)