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Request For Applications

An application can be downloaded from this website or if you would prefer one be mailed to you please fill out the form below.
Please note that all information requested by the Board from your school, the NCCAOM, the CCAOM, other state licensing boards, etc must be mailed directly to the Board.

APPLICATION FOR LICENSURE

APPLICATION FOR RENEWAL

REINSTATMENT APPLICATION   (for reinstatement of an expired license that has been expired for 2 years or less)


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