need to change name on license

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Specializes in corrections, MH, geriatrics.

Hello,

I know I previously printed out the form, but I cannot find it online anywhere now! Can someone direct me to where I need to go to get the form to change my last name on my IL LPN license. (I got divorced and returned to my maiden name.)

Thanks!

Georgia

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Specializes in corrections, MH, geriatrics.

In case anyone else is looking-I finally found the link!

https://www.idfpr.com/dpr/CHG_INFO/Forms/DPRCOAnamechange.pdf

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Specializes in Med/surg 1yr/ ER 8years.

Thanks for posting this. I could not find it! A google search led me here!

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