
STATE OF ARKANSAS
ARKANSAS
DIETETICS LICENSING BOARD
P.O. Box 1016
North Little Rock, AR 72115
(501)580-9294
FAX (501)843-0878
This
is the web site of the Arkansas Dietetics Licensing
Board. Below you will find all required FORMS for Applying for
Licensure in the State of Arkansas. Follow the
directions and fill out the forms completely. Failure to
complete the forms correctly, could result in a delay of your application.

Instructions
for Annual
Application Notarized
Form
Applicant
Form
Verification of
Professional Professional
Reference
Licensure
Reference
& Internship for PLD
Last
Updated 09/12/2007
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