Duplicate ID Request Form
The Board's rules require that each licensee maintains a current ID card in his/her possession. This card includes the license number, licensee's address, and the license expiration date. If you have lost your card or changed your name and/or address, you must request a new card by completing a duplicate ID card form and sending it to:
Composite State Board of Medical Examiners
2 Peachtree Street, N.W., 36th Floor
Atlanta, Georgia 30303-3465
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Dup_Id_Request.pdf |