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Get TX TDLR Form BAC-LIC-007-E (Formerly COS015) 2023-2024

Hange in owners DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR COMPLETED APPLICATION, ALL ATTACHMENTS, AND YOUR CASHIER S CHECK OR MONEY ORDER. 1. REQUESTING A DUPLICATE LICENSE FOR Select only one option. **RECOMMENDED FOR NAME CHANGES** 2. REQUESTING A CHANGE FOR - Select only one option. 3. PRACTITIONER LICENSE TYPE Provide the type of license the change is for. 4. NAME Provide your name as it currently appears on your practitioner license. 5.

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