I agree to abide by Chapter 43-44 of the North Dakota Century Code (dieticians and nutritionists) and the rules and regulation of the North Dakota Board of Dietetic Practice. I agree to hold the North Dakota Board of Dietetic Practice, its members, officers, agents, and examiners free from any damage or claim for damage or complaint by reason of any action they or any one them take in connection with this application, the failure of the Board to issue me a license and any other aspect of licensing. I hereby grant permission to the Board to seek any information or references it deems fit in securing my credentials pertinent to this application. I further agree that if issued, upon the revocation, suspension or cancellation of the license, I shall return the license certificate to the Board. The information which I provide in this application is truthful and I understand that providing false information of any kind may result in the voiding of this application.

North Dakota Military LRD & LN License Renewal Form

North Dakota Military LRD & LN License Renewal Form 2022-2023