Nursing Duplicate License Order System

Instructions

I certify that my nursing license was lost or stolen. I understand that:

  1. All fees are nonrefundable.
  2. Falsification of this application may be grounds for disciplinary action against my license.

Licenses will be mailed to the address currently on file with the Board of Nursing, regardless of the address provided for credit card billing purposes.

Please enter your license information below

License Number:
Social Security Number:
Date of Birth:
(MM/DD/YYYY)