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Licensee Contact Information Update

TCEQ license holders are required by rule (30 TAC §30.24(k)) to provide up to date contact information to the Occupational Licensing Section. Please fill out the form completely and accurately to inform us of updates to contact information.

Enter your first and last name
Date of Birth ■
Enter your date of birth.
/ /  
Enter your license number(s).
Mailing Address Line 1 should include Apartment & Suite Numbers
(xxx)xxx-xxxx
(xxx)xxx-xxxx
(xxx)xxx-xxxx
(xxx)xxx-xxxx
Last Modified Tue, 14 Feb 2012
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