Any licensee who loses, destroys or damages their license (or has a name change requiring a new license) may obtain a duplicate license for a fee of $10 and a notarized statement concerning the disposition of their earlier issued license. For a name change, a copy of the legal document (marriage certificate, divorce degree, court order) showing pre and post names is required. If you have ordered a license certificate or have renewed and your certificate has not arrived, please contact the board office by email to arrange for a new copy.
Report a name change by submitting the Name Change Form and fee by mail.
Licensees who serve as administrators for two facilities must obtain a second (duplicate) license from the board so that they can display their license at both facilities that they administer.
