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Request for Public Information Form

The Division of Health Professions Licensure is pleased to offer public information in electronic format. This process allows us to provide you with the detailed, accurate information you need quickly and efficiently.

The Division will provide certain public information in accordance with the Public Records Law MGL c4, s7; MGL c66, s10 and 950 CMR 32.00.

The following public information about licensees is available:

  • Full Name
  • License Number
  • Board Name
  • License Type
  • License Status
  • Street Address
  • City, State, and Zip Code

A PC-compatible CD-Rom containing a text file will be mailed to customers for a fee ($30 per selected box in the request form). Each data file contains all of the records for the chosen profession(s).

Ordering the Data File(s)

To place an order, please click on the link below to print the Request for Public Information Form. Mail your completed form along with your payment to:

The Division of Health Professions Licensure, 239 Causeway Street, Suite 200, 2nd Floor, Boston, MA 02114.

Forms

 

This information is provided by the Division of Health Professions Licensure within the Department of Public Health.