Forms

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Radiography, Nuclear Medicine, Radiation Therapy, and Radiologist Assistant Applications*:

            *See below for information regarding reinstatement of a lapsed license.

Limited X-ray Machine Operator (LXMO) Applications*:

             *See below for information regarding reinstatement of a lapsed license.

Other Forms:


Reinstatement Process: 

Fol​lowing the expiration of a license, an individual may apply for reinstatement using the guidelines listed below.  Please note, in addition to the application fee, the $100 reinstatement fee applies in each of the guidelines.  ​If an individual's name has changed since license expired, documentation of name change is required (i.e. marriage license, divorce decree, etc).

Radiography, Nuclear Medicine, Radiation Therapy, and Radiologist Assistant Reinstatement:
Limited X-ray Machine Operator Reinstatement: