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Please fill in the requested information to register for this site.
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indicates a required field.
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Last Name
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Massachusetts License Number
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Last 4 Digits of SSN
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Account Activation Code
(as assigned by the Board).
Don't have an activation code?
Your email will be used to send you updates about your renewal as it is processed.
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Email Address
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Confirm Email Address
Please create a User ID and Password. From now on, you will sign into your Physician Online Renewal account with your User ID and password. The Account Activation Code will not be used once you successfully create a User ID.
A User ID is the unique name that you use to identify yourself on the Physician Online Renewal (OLR) website. You sign into your OLR account with your User ID and password. When you register, choose a User ID that you like and that you'll remember. Create a User ID that contains letters, numbers, and/or special characters and is at least six characters long.
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User ID
Passwords must be between 8 and 20 characters long. Passwords must contain at least one upper case character, one lower case character, and one digit. Passwords are case sensitive.
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Password
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Confirm Password
Select a Security Challenge Question and provide an answer to it that you can remember. This will be used if you need to recover your password.
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Security Challenge Question
Please select...
What city or town were you born in ?
What is the last name of your favorite author?
What is the make of your car?
What is your mother's middle name?
What was the first name of your high school sweetheart?
What was the make of your first car?
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Answer