Form and/or Application Payment

Payment through this portal is not confirmation of completed application for renewal or other licensure requests. Payments submitted without the required application or form are considered incomplete.

Please use the following button to access the form or application needed to process your request:   

To continue to the pay portal, please confirm you understand this notice by clicking “I UNDERSTAND” below. 

Fine Payment

Fine payments require the Summary Proceeding Order/Case Number and, if applicable, the practitioner/establishment license number.

To continue to the pay portal, please confirm you understand this notice by clicking “I UNDERSTAND” below.