|
Please submit the license fee that applies according to when you are making
application, application fee and unlicensed activity fee. Make check or
money order payable to the Department of Health. The fees are subject to
date of issuance as follows:
| License Fee (Initial) |
| License Issued - August 1, 2007
through December 31, 2008
Total Fees $280.00 |
Breakdown of Fees:
- Application Fee $75.00
(non-refundable)
- Initial Licensure Fee $200.00
- Unlicensed Activity Fee $5.00
|
| License Issued - January 1, 2009
through July 31, 2009
Total Fees $180.00 |
Breakdown of Fees:
- Application Fee $75.00
(non-refundable)
- Initial Licensure Fee $100.00
- Unlicensed Activity Fee $5.00
|
| License Fee (Initial) for Assistant Certificate
Total Fees $130.00 |
Breakdown of Fees:
- License Fee $50.00
- Application Fee $75.00
- Unlicensed Activity Fee $5.00
|
| License Fee for provisional license (Initial)
Total Fees $180.00 |
Breakdown of Fees:
- License Fee $100.00
(issued for 18 months)
- Application Fee $75.00
- Unlicensed Activity Fee $5.00
|
| Duplicate License Fee |
$25.00 each |
Certification/verification of licensure |
$25.00 each |
Application, License and Unlicensed Activity fees due at time of application. Initial Licensure fee is
refundable if applicant is found ineligible for licensure. Applicant must request refund
in writing.
Fees are subject to change. |
