Licensure Specialist, David Harris
Pain Management Clinic License forms
For questions about your Pain Management Clinic license or applying for Pain Management Clinic licensure, contact:
Licensure Specialist, David Harris
HB178
Initial Application for Pain Clinic Licensure
Initial Application for Pain Clinic Licensure
Change in Pain Clinic Ownership
Change in Pain Clinic Ownership
Request to Add, Delete, Edit or Revise Pain Clinic Information