License Conversion Form - Login

All sections of the form are mandatory and must be completed. Incomplete forms will not be accepted and will be denied. If you have any questions you may contact the board office at (775) 787-3421.


Convert Apprentice to Standard License Fee: $50.00	Convert Inactive Status to Active Status Fee: $50.00
Convert Provisional License Fee: $50.00	Convert Temporary License Fee: $50.00

While you are in the online form please do not use the back button in your browser. If at any time you wish to exit please select the "Exit" button located at the bottom of the page.

Please enter your login information below.

If you have a Dispensing Endorsement, Provisional or Apprentice License make sure to add either Dispensing, Provisional or Apprentice after your license number. Example A-000 Dispensing, SP-0000 Provisional, or HAS-000 Apprentice


Last Name	Last 4 Digits of SSN	License Number
		Enter full License # (e.g. SP-000, A-000, HAS-000)