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WWW.PLA.IN.gov. DO NOT WRITE BELOW THIS LINE. Name (last, first, middle, maiden). Address (number and street or rural route). City. Type of license held.

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What is verification of state licensure?

Verification of state licensure is a process to confirm that a professional holds a valid license to practice in a specific state.

Who is required to file verification of state licensure?

All professionals who are required to hold a state license in order to practice their profession are required to file verification of state licensure.

How to fill out verification of state licensure?

To fill out verification of state licensure, professionals need to provide their personal information, license number, expiration date, and any additional requested documentation.

What is the purpose of verification of state licensure?

The purpose of verification of state licensure is to ensure that professionals are complying with state regulations and are authorized to practice their profession.

What information must be reported on verification of state licensure?

Professionals must report their personal information, license number, expiration date, and any additional documentation requested by the state licensing board.

When is the deadline to file verification of state licensure in 2023?

The deadline to file verification of state licensure in 2023 is June 30th.

What is the penalty for the late filing of verification of state licensure?

The penalty for the late filing of verification of state licensure may include fines, temporary suspension of the professional's license, or other disciplinary actions by the state licensing board.

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