DPH: Dental Hygienist Reinstatement of a Lapsed License

Dental Hygienist Reinstatement of a Lapsed License

 

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for reinstatement of a Connecticut license that has lapsed due to nonrenewal shall provide the following documentation:

 

A completed, notarized application with photo and fee in the amount of $150.00 in the form of a bank check or money payable to, “Treasurer, State of Connecticut”;

 

The applicant’s current curriculum vitae (CV) including a synopsis of professional activity since completion of dental hygiene school;

 

Verification of all licenses ever held current or expired from each state or territory in which the applicant is or has ever been licensed.  Most states charge a fee for completion of the verification form; contact each state or territory for fee information; 

 

Verification submitted directly to this office from the appropriate authority confirming your most recent employment; including dates and an overall evaluation of your ability to practice dental hygiene with reasonable skill and safety.

 

A licensee whose license has become void and who applies to the department for reinstatement of such license, shall: (1) Submit evidence of completion of a minimum of twenty-four contact hours of qualifying continuing education during the two-year period immediately preceding the application for reinstatement; or (2) for an applicant who has not been in the active practice of dental hygiene for more than two years, submit evidence of successful completion of the National Board Dental Hygiene Examination, the North East Regional Board of Dental Examiners Examination in Dental Hygiene or a refresher course approved by the department during the one-year period immediately preceding the application for reinstatement.

 

All supporting documentation should be sent to:

 

Connecticut Department of Public Health

Dental Hygienist Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Fax: (860) 707-1929

Email:  dph.dentalteam@ct.gov

 





Content Last Modified on 2/19/2015 2:34:16 PM