Occupational Licenses Portal
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Create User
Email (External)
Phone Number (Business)
SSN
Phone Number (Cell)
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First Name
Middle Name
Last Name
Mailing Address Line 1
Address Line 2
City
Carencro
Lafayette
State
LA
Zip Code
Same as Mailing?
Physical Address Line 1
Address Line 2
City
Carencro
Lafayette
State
LA
Zip Code
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