OBMLS Online License Renewal

Please use this form if you wish to submit a bug report, problem or suggestion to the Oklahoma State Board of Medical Licensure & Supervision staff. Unfortunately, we cannot promise that every submission will receive a personal response, but we guarantee all feedback will be carefully taken into consideration and all bug reports will be investigated by our technical report staff.
If you are sending a bug report, please include steps which will allow us to reproduce the problem if possible. In addition, explain in the comment box below any error messages or other pertinent information to help us help you faster.

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Contact Information:
Your Name: *	License Number: *
	License Type: *
Email Address: *	Telephone Number: *
Problem:
Web site not available PIN number not working/unable to reset PIN Having difficulty going from one screen to another Other
Bug report, problem, or other comments:

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