- "Name" is a required field.
- "License Number" is a required field.
- "License Type" is a required field.
- "License Issue Date" is a required field.
- "Expiration Date/Renewal Date Option" is a required field.
- You must select exactly 1 choice for Embosser.
- "Embosser" is a required field.
- "Email Address " is a required field.
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