Skip to main content
Massage Therapy Payments
Main menu
Home
Contact Us
Application
Renewal
Duplicate Records
Home
Renewal
Renewal
Fields marked with an asterisk are required and must be completed prior to clicking Pay Now.
License Number
*
MT-
Licensee First Name
*
Licensee Last Name
*
Licensee Phone Number
*
Licensee Email
*
Products
*
Renewal fee only
Renewal fee and late fee
Renewal fee and Reinstatement fee
Late fee
Reinstatement fee
Amount Owed (including $2.50 Convenience Fee)
*
$
Leave this field blank
Pay Now
