License Verification Request
Request:
A Verification of Licensure will be issued only upon the Request of the Mississippi Licensee for the purpose of submission to another licensing authority. Such a request must be requested in writing and submitted along with a fee of $25.00 made payable to MBOP. There is a $25.00 fee for each request.
I am requesting verification of license with the Mississippi Board of Psychology to be sent to the State Licensing Board indicated below. By signing below and submitting this request, I hereby grant permission for you to provide my licensure information directly to the State licensing Board indicated as a part of this request.
User Request
:
*
User Information :
   
*
License Number :
   
Select License Status
Active
Inactive
Licensing Board Information
:
*
Address :
   
*
State :
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
   
*
City :
   
*
Zip :
*
Signature :
 
11/5/2024 11:38:15 AM
In order to make payment and complete your application, you will be redirected to the Mississippi Enterprise Payment System. You will be guided through the payment process and then be returned here to receive your payment confirmation and any additional requirements that may apply. By using this payment system, you attest that you are the account holder or have the written authority to use said account for the purpose of completing the financial obligations and that sufficient funds are available.