Reinstatement Applications

The renewal period for medical doctors whose last names begin with the letters M through Z, podiatric physicians, controlled substance dispensing practitioners whose last names begin with the letters M through Z, educational permit participants and professional limited liability companies concluded at 4:30 pm EDST on June 28, 2019. If a license, registration or authorization expired on June 30, 2019 due to lack of renewal, the practitioner and/or company may apply for reinstatement. Instructions and applications are available below.

Original signatures are required, therefore, applications are not accepted via facsimile or email.

Medical Doctor (M-Z) License Reinstatement Application                      

Podiatric Physician License Reinstatement Application                        

Controlled Substance Dispensing Practitioner Registration Application

Professional Limited Liability Company Application