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Confirm License Type Choices

Data from our reporting database is current as of yesterday evening.

Standard data fields include:

First name, middle name, last name, email address, street address, city, state, zip code, county, license number, date license was first issued, latest renewal date, license expiration date, license type, and specialty (if available). If additional data fields are needed, contact oregon.bn.info@osbn.oregon.gov.



Please choose at least 1 license type:


Additional optional fields: