Initial License Issuance

Thank you for choosing to pay for your service with the Board's online payment option. This form is for paying for your initial issuance of a license.

Fee Information

License issuance - $225.00

A $3.00 convenience fee will be added to each online transaction.

Fields marked with an asterisk are required and must be completed prior to clicking Pay Now.

Products

Fieldset
$225
Payment Detail