Add License or Certifications

Please enter in your license or certification information.

Required Fields:  License or Certification type.

Optional Fields:  Expiration Date, License/Certification Number, and State.

Click OK to add the license/certification information to your application.
Click Cancel to return to the application. Please note that any updated or new data entered will not be added to the application.
Click Apply and Add Another to add another license or certification to your application.