Forgot your Username or Password?

If you do not have your username or password, then you can use the below form to request your username and password be sent to you via email. You may also contact the licensing board to retrieve your username and password.
Last Name:
License Number:
Ex: "PT000000" or "PTA000000"
If you have never been licensed by the board but have already created an account to apply for a license, you must enter "Application" for the license number.
City:
Can be either work or home city, must match one of the addresses on file at the board.