MQA License Certification

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Licensure Certification / Non-Licensure Certification Request

Please use this form to request certification of your Florida license.

Please note that if you are applying for a Florida license, you do not need to submit a licensure certification request for your Florida license.
If you are applying for licensure in another state that requires exam scores, please complete and upload the Waiver of Confidentiality and Authorization to Release Scores Form with your request for your licensure certification. Most states do not require exam scores. If you are unsure, please check with the licensing authority for that state prior to requesting your scores.
If you are requesting public record(s) click here.
License Verification for Florida licensed nurses is through NURSYS. This only includes RNs and LPNs.
License Verification for Florida licensed physicians and physician assistants is through VeriDoc. This only includes MDs, DOs, and PAs.
If you are trying to renew your license or request a duplicate license, click here.

Select Request Type:

Request Type:*

Select Exam Score Requirement

Do you want to include exam scores?*

Yes

Enter Request Detail

License Number:*

Enter License Prefix and License Number with no spaces, leading zeros, or colons. Example: ME99999 or ME069999.

Licensee First Name:

Licensee Last Name:

Business/Company Name:

SSN:

Date of Birth:

Licensee Address Line 1:

Licensee Address Line 2:

Zip Code:

City:

State:

Profession:*

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