LOUISIANA STATE BOARD OF PRACTICAL NURSE EXAMINERS

131 Airline Drive, Suite 301, Metairie, LA 70001          Phone 504-838-5791     FAX 504-838-5279


Duplicate license

 

If your Louisiana lpn license has been lost, damaged, destroyed or stolen, you must request a duplicate license on the form provided. The form must be completed by licensee, and mailed to our office, accompanied by all of the following:

  1. Original CERTIFIED birth certificate; (Please note that our office must receive and view the original birth certificate. We will photocopy for our file and return the original to lpn with duplicate license.)
  2. A photocopy of your current driver's license;
  3. Money order in the amount of $30.00, payable to "LSBPNE" (personal checks will not be accepted).


If you do NOT have a driver's license, then we will need a photocopy of a work badge with your name and picture on it, and two (2) forms of personal identification: Social Security card, paycheck stub (not handwritten) showing your name and address, utility bill with your name and address, etc.

Forms not accompanied by the required documents will be returned.

Request for duplicate license form

Note:  To view the form, you will need a pdf reader.

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