California radiology license application 2026

1. Click ‘Get Form’ to open the California Radiology License Application in our editor.
2. Begin by entering your full legal name in the designated fields for Last Name, First Name, and Middle Name. Ensure accuracy to avoid issues with your application.
3. Fill in your Date of Birth and Social Security Number. Remember, providing your social security number is mandatory for identification purposes.
4. Complete the contact information section by entering your Phone Number, Mailing Address, E-mail Address, City, State, and Zip Code.
5. Indicate whether you are submitting a current California Diagnostic/Therapeutic Radiologic Technology Certificate number or an ARRT Certificate attached to your application.
6. If applicable, provide documentation of education and training equivalent to that of a radiologic technologist fluoroscopy school curriculum as specified in the form.
7. Review all entered information for accuracy before signing and dating the application at the bottom of the form.

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