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Name/Address Change Request

IDFPR requires each licensee to keep the agency notified of their current address, email address, and phone number.

Mailing address, email address, or telephone number change

If you have an IDFPR Online Service Portal account with us and an active license, please click here to update your mailing address, email address, or telephone number.

*Please note international residents must submit the Personal Information Change Request Form below

Name Change

To change your name on your professional license please submit this form Personal Information Change Request Form and upload documentation of the name change (marriage license, court order, divorce decree, or driver’s license). 

If you do not have an online account, applied for licensure on CORE, are an international resident, or a licensee with an “inactive” or “non-renewed” status, please use this form Personal Information Change Request Form to change any of your personal information.

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