LOUISIANA STATE BOARD OF PRACTICAL NURSE EXAMINERS

131 Airline Drive, Suite 301, Metairie, LA 70001          Phone 504-838-5791     FAX 504-838-5279


Name change

It is the responsibility of every lpn with a Louisiana license to notify the board office immediately in the event of a name change. Remember, the name on your license is the name you must use when signing nursing notes, medication administration records, etc. and it must match your personnel records.

Procedure for a name change request before your lpn license has been renewed during the renewal period.

There is no charge for a name change made at the time of license renewal. However, if you have a name change to request, you cannot renew your license online until AFTER the name change has been completed by our office.

For a name change prior to the renewal of a lpn license, the request shall be in writing on the form provided on our website. Request for name change prior to renewal form. (This document is acceptable prior to submitting online renewal of license only). The form must be completed by licensee and mailed to our office prior to renewing your license online, and must be accompanied by all of the following:

  1. Original, CERTIFIED legal document* granting the name change (i.e. marriage license, divorce decree, name change order);
  2. A photocopy of your current driver's license;

Once our office receives the request and the name change is completed, your online account will reflect the change when you login to renew. NOTE: if you do not see the change in your name as requested DO NOT RENEW YOUR LICENSE.

Procedure for a name change request after your lpn license has been renewed for the current year.

The request shall be in writing on the form provided on our website. Request for Name Change. The form must be completed by the licensee and mailed to our office, accompanied by all of the following:

  1. Original, CERTIFIED legal document* granting the name change (i.e. marriage license, divorce decree, name change order) Note: this document will not be returned;
  2. His/Her most recent lpn license (original, not a photocopy);
  3. A photocopy of your current driver's license;
  4. Money order in the amount of $30.00, payable to LSBPNE (personal checks will not be accepted).
* Please note that the certified document will not be returned. You can call the Clerk of Court office in the parish/county where your paperwork was filed for a certified copy to enclose with your request to our office.

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