Licensing - Roster Requests Form
Roster Request Form
Rosters come in Text format along with instructions on downloading into Excel. The rosters contain license number, name, city, state, zip, county, issue date, and expiration date.
This roster form is for licenses still in the legacy system which are Nursing, Music Therapy, and Cemeteries. You can request "active" and "inactive" status rosters. We also give an option for "All Rosters" which includes these professions and the professions that are in our GOALS system.
The list does not include phone numbers, e-mail addresses, or personal mailing addresses. Partial lists are not available (i.e., certain counties, cities, zip codes, etc.) The list contains all of the licensees in Georgia. It also contains a records layout of the files.
Payment must accompany request. We accept check or money orders made payable to the Secretary of State, Professional Licensing Boards. Please do not send cash.
If you have any questions or concerns regarding our licensee roster, please contact customer service at 404-424-9966.
Download a PDF copy of the Roster Request Form>>