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Get Ncboeslpa License Renewal Form

Ncboeslpa.org Name Home Address Employer Employer Address Home Telephone Work Telephone Email Address - Will be reserved for Board use only License Number Renewal Date Bilingual Language The license renewal fee is 60. STATE OF NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS PO Box 16885 Greensboro NC 27416-0885 Phone 336 272-1828 Fax 336 272-4353 Email scapps ncboeslpa*org www. 00 and is due annually on the anniversary date that your license was issued* To renew your license remit 60. 00 per G*S* 90-305 by check or money order before the expiration date. If payment by personal check note that deposits are typically made on Fridays and the new licenses cannot be mailed until ten days after the date of deposit. I AFFIRM THAT I AM IN COMPLIANCE WITH THE N*C. BOARD OF EXAMINER S CONTINUING EDUCATION REQUIREMENT 21 NCAC 64. 00 and is due annually on the anniversary date that your license was issued* To renew your license remit 60. 00 per G*S* 90-305 by check or money order before the expiration date. If payment by personal check note that deposits are typically made on Fridays and the new licenses cannot be mailed until ten days after the date of deposit. 00 per G*S* 90-305 by check or money order before the expiration date. If payment by personal check note that deposits are typically made on Fridays and the new licenses cannot be mailed until ten days after the date of deposit. I AFFIRM THAT I AM IN COMPLIANCE WITH THE N*C. BOARD OF EXAMINER S CONTINUING EDUCATION REQUIREMENT 21 NCAC 64. 00 and is due annually on the anniversary date that your license was issued* To renew your license remit 60. 00 per G*S* 90-305 by check or money order before the expiration date. If payment by personal check note that deposits are typically made on Fridays and the new licenses cannot be mailed until ten days after the date of deposit. I AFFIRM THAT I AM IN COMPLIANCE WITH THE N*C. BOARD OF EXAMINER S CONTINUING EDUCATION REQUIREMENT 21 NCAC 64.

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