Change of Address/Name
Complete the following form if there is a change in your address and/or name that is on file with the Board. The $25.00 fee applies only to name changes, for which you will receive an updated copy of your license.
Complete the following form if there is a change in your address and/or name that is on file with the Board. The $25.00 fee applies only to name changes, for which you will receive an updated copy of your license.