Request for Duplicate Renewal Application

To obtain a renewal application, please provide the state board with the information requested below and click submit.

Licenses expire February 29, 2020. Unless renewed by the board office, the licensee is not authorized practice after that date.

Note: If you do not know your license number, go to the board's main web page https://pr.mo.gov/podiatrists.asp and click on LICENSEE SEARCH on the sub navigation. Leave the County Name and Profession Name fields set to ALL. Click on Licensee or Practitioner DBA Name and type your name in the text box provided. Be sure to enter your name specifically as requested (ie, Doe, John). Click the SEARCH button. When your license record is found, click on DETAIL to obtain the license number.

Name as it appears on the certificate
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Mailing Address
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Comments

Signature
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