Change of Address

Please provide the Missouri State Board of Registration for the Healing Arts with any change in your business and/or home address. Please use the form below to report address changes and/or remove address(es) from your record and click submit.

Please note, the current system does not automatically update your address information after submission of an address change request. Information is processed by Board staff, and a high volume of requests are received during the renewal period. Your request will be processed at the earliest convenience. Please, refrain from submitting multiple requests. Your patience is appreciated.

Click here to report a change of name.

Only the licensee should change information on this site. By entering information on this site, you are representing that you are the person whose information is being changed.

Name as it appears on your license
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New Business Address

New Home Address

New Additional Location Address

Remove the following Address from my Record

Updated copy of your license