As part of my continued license, I will comply with all applicable state laws and rules. Instructions Above is your license renewal application. Please type or print legibly your name, social security number, date of birth, race, sex, county of residence, telephone number and complete mailing address in the spaces provided. Remove the attached ongoing education record form. It is to be used over your next licensure period.
Fees are non-refundable.
Failure to return your completed application within 60 days from the date of license expiration shall invalidate your application. Lansing, MI 48909 Please retain copies of all records for your life. All communications with our office must include your level of licensure and license number.