Az state massage board 2025

1. Click ‘Get Form’ to open the Arizona Massage Therapy State Board License Verification form in the editor.
2. In Section I, clearly type or print your name, address, city, date of birth, and the last four digits of your Social Security number. Ensure all information is accurate for verification purposes.
3. Indicate the state where you are licensed and provide the necessary license details including license number, date of issue, and expiration date.
4. Complete the qualifications section by detailing your total hours of education and checking off the examination you passed for licensure.
5. In the current status section, select whether your license is active, lapsed, inactive, denied, suspended, or revoked. If applicable, provide additional documentation regarding any disciplinary actions.
6. Finally, ensure that an authorized agency representative completes their section by signing and dating the form before submission.

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