Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2115 - State Committee of Dietitians
Chapter 2 - Licensure Requirements
Section 20 CSR 2115-2.010 - Application for Licensure/Reciprocity

(1) Applications for licensure shall be submitted on the forms provided by the committee and may be obtained by writing the committee at 3605 Missouri Boulevard, PO Box 1335, Jefferson City, MO 65102, or by electronic mail (email) at diet@pr.mo.gov.

(2) An application is not considered officially filed with the committee until it has been determined by the committee or division staff to be complete. The application shall be submitted on the form provided by the committee, typewritten or printed in black ink, signed, notarized, and accompanied by the application fee pursuant to rules promulgated by the committee and any other applicable forms required by the committee.

(3) All applicants including applicants for licensure by reciprocity shall request that each state, United States territory, province, or country regulatory entity in which a license, certificate, registration, or permit as a licensed dietitian or similar title is held or has ever been held to submit verification of licensure, certification, registration, or permit directly to the committee. The verification shall include the type of license, registration, certification, or permit issued; the number; status; issue and expiration dates; information regarding any disciplinary action; method of licensure, registration, or certification; and the name and title of the person verifying the information with date and board seal.