Licensure Documents

 TitleDescriptionSize
Doc 10 and 11Request for permit as a Graduate Nurse. revised 05.13.2016492.50 KB
Doc 12 Application for license as a Certified Technician. revised 05.13.16495.50 KB
Doc 14 and 15Renewal application for license as a Certified Technician. revised 05.13.16495.50 KB
Doc 16 and 17Application for Endorsement of license as a Registered Nurse and Licensed Practical/Vocational Nurse. revised 05.13.16496.00 KB
Doc 18 and 19Application for license by waiver, for RENEWAL and REINSTATEMENT RN, LPN. revised 05.13.16492.00 KB
Doc 20 and 21Requirements for licensure by examination. revised 08.01.17497.50 KB
Doc 22 and 23Application for licensure by examination. revised 05.13.16497.00 KB
Doc 24 and 25Application for endorsement of license as Advanced Practice Registered Nurse. revised 05.13.16496.50 KB
Doc 26 and 27Application Renewal for Advanced Practitioners. revised 05.13.16496.50 KB
Doc 28 Verification of Employment43.00 KB
Doc 29Verification of license for RN's and LPN's46.50 KB
Doc 30Continuing Education for renewal or reinstatement form. revised 11.26.1350.00 KB
Doc 31Request for name address and email change form. revised 05.13.16492.00 KB
Doc 32Applicant's checklist for Graduate Nurse Interim Permit. revised 05.13.16488.50 KB
Doc 33Applicant's checklist for Certified Nursing Assistant. revised 05.13.16488.00 KB
Doc 34Applicant's checklist for Certified Technicians. revised 05.13.16488.50 KB
Doc 35Applicant's ENDORSEMENT checklist for RN's and LPN's. revised 05.13.16490.00 KB
Doc 36Checklist Applicants for APRN's for Endorsement Licensure. revised 05.13.16490.00 KB
Doc 37Checklist Renewal for Certified Nursing Assistants. revised 05.13.16487.50 KB
Doc 38 Renewal Checklist for Certified Technicians. revised 05.13.16488.00 KB
Doc 4 and 5Application for Renewal of License as a Certified Nursing Assistant and affidavit. revised as of 05.13.16495.50 KB
Doc 40Checklist Renewal for Registered Nurses & Licensed Practical Nurse. revised 03.09.2018490.00 KB
Doc 41Checklist Renewal for Advanced Practice Registered Nurses. revised 05.13.16487.50 KB
Doc 42Checklist Reinstatement for Certified Nursing Assistants. revised 05.13.1640.50 KB
Doc 43Reinstatement checklist for Certified Technicians. revised 05.13.16488.50 KB
Doc 45Reinstatement checklist for Registered Nurses & Licensed Practical Nurse. revised 05.13.16 489.50 KB
Doc 46Reinstatement checklist for Advanced Practice Registered Nurses. revised 05.13.16488.50 KB
Doc 47Document Certification of Related Learning Experience. revised. 05.13.16492.50 KB
Doc 48Application - Initial Licensure for Certified Nursing Assistant. revised. 05.13.16496.00 KB
Doc 49Application for Licensure by Examination (Score Transfer). revised. 05.13.16497.00 KB
Doc 50Requirements for licensure by examination SCORE TRANSFER. revised 05.13.16493.00 KB
Doc. 13Application for Continuing Education106.00 KB
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