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How to use or fill out from Inactive, Expired, or Lapsed Status INSTRUCTIONS
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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in Section A. Fill in your legal name, mailing address, date of birth, and social security number. Ensure all details are accurate to avoid processing delays.
In Section B, declare your primary state of residence and check the appropriate box regarding your military status if applicable.
Proceed to Section E where you must meet one of the continuing competency criteria. Check the box that applies to your situation and provide any necessary documentation.
Complete Section F by indicating whether you have practiced nursing since your license expired. If yes, provide details about your practice.
Finally, review all sections for completeness and accuracy before signing the application in the attestation section. Remember that electronic signatures are not accepted.
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If I renew to inactive status, when does the license expire? An inactive license has the same renewal cycle (two years) as an active license. A licensee cannotRead more
Apr 14, 2026 Once a license lapses, a one-year grace period begins during which you cannot make those applications for which the license is required.Read more
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