Relinquish License Request
Submit this form if you no longer want to keep your license active and are exempt from licensure.
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Thank you for notifying the Board. You will receive email confirmation when you click SUBMIT.
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701 Exposition Place, Ste 206, Raleigh, NC 27615
- PH: 919.834.3661 - FAX: 919.834.3665 - Email: info@nchalb.org
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