Cost: $50 (+$3 for PayPal)
Please note that lists will be sent in Microsoft Excel format.
What is in the mailing list?
Names, mailing addresses, field of practice, license number, issue date, expiration date, and status (Temporary or Permanent).
Please enter an email address to receive a copy of this completed form and mailing list.
I understand that if I choose to mail in payment with printed form the Board office will not receive my form submission. I understand that the most common reason for delay is error in completing the form correctly, providing the required information, and not following the instructions. Error can be avoided if you proceed through this form submission carefully, thoroughly, and accurately. If you have any questions or need assistance, call the Board of Examiners at 336-272-1828.
Checks/money orders are made payable to NCBOESLPA, and should be mailed to NCBOESLPA, PO Box 16885, Greensboro, NC 27416.
The form and payment must come together. If a payment comes without a form, or vice versa, it will be returned to sender.
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