How do I change my last name on my Registered Nurse License?

Published 09/13/2011 08:37 AM   |    Updated 09/13/2011 08:37 AM
How do I change my last name on my Registered Nurse License?
To have your name changed you must submit an official name change document such as a marriage certificate or divorce decree.  Please include your nursing license number with your request.
Social security cards are NOT acceptable.  You can send the documentation to:

- Fax:  317-233-4236  Attn: Nursing Group
- Email:  pla2@pla.in.gov
- Address:  IPLA
                    Attn: Nursing
                    402 West Washington St., Rm. W072
                    Indianapolis, IN  46204

Once your name has been updated you can purchase a new license card here:  https://mylicense.in.gov/  Login ID: LPN or RN license number
Password:  Last 4 digits of your social security number
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