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2013 Inactive Status Application/Licensing Statement The address of record is a public record and will be provided upon request. Note: License fees are due January 1 and are considered delinquent

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What is inactive status applicationlicensing statement?

The inactive status application/licensing statement is a form that is used to update an individual's licensing status to inactive. This means that the individual is no longer actively practicing their licensed profession.

Who is required to file inactive status applicationlicensing statement?

Any licensed professional who wishes to change their licensing status to inactive is required to file an inactive status application/licensing statement.

How to fill out inactive status applicationlicensing statement?

To fill out the inactive status application/licensing statement, you will need to provide your personal information, such as your name, contact details, and license number. You may also need to indicate the reason for your request to change your licensing status to inactive.

What is the purpose of inactive status applicationlicensing statement?

The purpose of the inactive status application/licensing statement is to officially inform the licensing board or regulatory authority that an individual wishes to change their licensing status to inactive. This allows the individual to temporarily suspend their professional practice while still maintaining their license.

What information must be reported on inactive status applicationlicensing statement?

The inactive status application/licensing statement typically requires the individual to report their personal information, such as their name, contact details, and license number. They may also need to provide the reason for their request to change their licensing status to inactive.

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