Reactivation Physician Assistant License Application
Reactivation Physician Assistant License Application
The Reactivation Application is to be used by Physicians Assistants who previously held a Wyoming
license but allowed the license to expire due to non-renewal of the license.
This application must be printed and mailed to the Board office, it cannot be submitted or paid for online.
Carefully read and follow all instructions. Contact the Board if you have any questions.