Licensure Specialist, Dominique White
Pain Management Clinic License forms
For questions about your Pain Management Clinic license or applying for Pain Management Clinic licensure,
contact:
Licensure Specialist, Dominique White
HB178
- Law establishing the Pain Management Clinic License
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