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Radiologic Technology Licensure Program
Arkansas Department of Health
Radiation Control Section

Radiologic Technology Licensure Program
4815 W. Markham, Slot H-29
Little Rock, AR 72205

Phone:
501-661-2166 or 501-661-2306
Fax: 501-661-2236
E-mail:
valerie.brown@arkansas.gov
Technologists License Verification
Forms

Instructions:

On the pdf forms below, fill in the information online, print it out, sign where appropriate and mail back to us at the address above with any fees that are due.

bullet Application (pdf)
bullet Temporary License Application (pdf)
bullet License Renewal Form (pdf)
bullet Limited Scope Examination Application (pdf)

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