Licensing and Regulatory Affairs
To change your name and/or address for one of the following professions please visit www.michigan.gov/miplus:
Behavior Analyst/Assistant Behavior Analyst
Dentists and dental related professions
Pharmacy and pharmacy related professions
Veterinary Medicine related veterinary professions
You will have the option of paying for a new license to be issued with updated information as part of the process.
For all other health professions you must submit a request to change your name in writing. To change your address, for a profession not listed above, you must either submit in writing or via the Internet at www.michigan.gov/elicense. If you require a new license to be issued with the new information you can request and pay for a duplicate license with a credit card. A new license is not issued automatically.
You can also complete the Data Change/Duplicate License Request Form
Fax to 517-335-2044 or email to BPLHelp@michigan.gov (only if new license is not being requested) or
Mail the form to LARA/BPL/Licensing Division, PO Box 30670, Lansing MI 48909.
Include $10 fee if new license is being requested.