Apply for a License as:
Disclosure of Social Security Number, Individual Taxpayer Identification Number or Federal Employer Identification Number:
Business and Professions Code section 30 requires mandatory disclosure of a Social Security Number (SSN),
Individual Taxpayer Identification Number (ITIN), or Federal Employer Identification Number (FEIN). The number is used for
tax enforcement purposes, for purposes of compliance with any judgment order for family support in accordance with
17520 of the Family Code, or for verification of licensure or examination status by a licensing examination entity
which uses a national examination and where licensure is reciprocal with the requesting state.
NOTE: An FEIN may only be used for a business license type, not for an individual license type.
Section 31 of
the Business and Professions Code allows the State Board of Equalization and the Franchise Tax Board to share
taxpayer information with the Board. If a state tax obligation is not paid, an application for licensure may be denied
and a license issued by the Board may be suspended
and Professions Code section 494.5).
Reporting a number on your application that is not your SSN, ITIN, or FEIN may be grounds for denial.
Additionally, in order to apply for licensure or check the status of your application online, an SSN or ITIN is required
to register with the BreEZe online application system. If you do not have an SSN or ITIN, you will be required to
complete your application by mail.
Terms of licenses and registrations.
All physician’s and surgeon’s certificates, and certificates to practice midwifery, research psychoanalyst registrations,
polysomnographic trainee, technician, and technologist registrations, and fictitious-name permits, issued after July 1, 2018,
shall expire at 12 midnight on the last day of the month in which the license was issued during the second year of a two-year term.