myLicense Support To better serve you, please provide the following information: First Name: First name is required. Last Name: Last Name is required. E-mail Address: An E-mail address is required.An e-mail message usually has a "@" and a "." Telephone: A Telephone number is required. City: A city is required. State: A State is required. Group ID#(if applicable): License Change If a license change is requested, you must complete all fields. State: State License Level: State License Number: Expiration Date:  hrs. every  years. NREMT License Level: NREMT License #: Question: A question is required. License Level: A License/Level is required.