Protecting public health through regulation of licensees and registrants.


Online source for the most recent registration & licensing forms.

General Forms

Address Change Request
This form cannot be used to change a Practice Address for a Practitioner Controlled Substance Registration.

Name Change Request Form

1199 W Shoreline Lane, Suite 303
Boise, ID 83702-9103
Phone 208-334-2356
Fax 208-334-3536
Map to our office

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