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Licensing directory · all 50 states and Washington, D.C.

Find your state’s acupuncture licensing path.

Choose a state to find the license, herbal-medicine rules, application steps, renewal requirements and the official places to confirm what applies to you.

Pick your state.

Claims link to primary sources where we found them. Gaps and open questions stay labeled so you can tell what has, and has not, been confirmed.

Licensing in

Missouri

Start with the Missouri Acupuncturist Advisory Committee, which recommends licensing to the State Board of Chiropractic Examiners. Applicants must be 21 and an active NCCAOM diplomate. Licenses expire every other year and renewal needs 30 hours of continuing education including infection control and CPR. Fees come from board rules not read here.

State license · State Board of Chiropractic Examiners with an Acupuncturist Advisory Committee · NCCAOM diplomate

At a glance

Start with the responsible authority.

Regulatory authoritySource checked
State Board of Chiropractic Examiners, on recommendation of the Missouri Acupuncture Advisory Committee, within the Division of Professional RegistrationRSMo 324.475, 324.481 ↗

Last checked October 10, 2026

01

Know which credential fits

License types

Acupuncturist

Independent acupuncture practice

License requiredSource checked
Practicing acupuncture requires a license or a supervised course of study as a trainee; licensed physicians and chiropractors are exempt unless they use the title licensed acupuncturist.RSMo 324.484, 324.487 ↗
Auricular detox technicianSource checked
Technicians performing only the limited ear detox protocol under a licensed acupuncturist need no license.RSMo 324.475, 324.484 ↗
02

What to confirm

Getting your first license

QualificationsSource checked
At least 21, active NCCAOM Diplomate in Acupuncture, application on the Committee's form, and the fee.RSMo 324.487 ↗
Application documentsSource checked
Notarized application, two sets of fingerprints, proof of age, and NCCAOM verification; out-of-state licensees add license verification from the other state.20 CSR 2015-2.010 ↗
FeesSource checked
The application fee is $200 and the fingerprinting fee is set by the Missouri State Highway Patrol; fees are not refunded if a license is surrendered, suspended or revoked during its term.20 CSR 2015-1.030 ↗
03

What to confirm

Herbal medicine

Herbal medicine authorityWe haven’t confirmed this from an official source yet. If you know the statute, rule or board page that answers it, share it and we’ll check it.
The statutory definition of acupuncture covers needles and related modalities and does not mention herbs.Know this? Share an official source
Retail, compounding, and dispensingWe haven’t confirmed this from an official source yet. If you know the statute, rule or board page that answers it, share it and we’ll check it.
Not confirmed yet. We only publish what an official source supports.Know this? Share an official source
04

What to confirm

Keeping the license active

CycleSource checked
Licenses expire every other year; an unrenewed license is invalid but may be restored.RSMo 324.490 ↗
Continuing educationSource checked
30 hours in each two-year period related to acupuncture, including infection control and CPR certification; not required in the first year of licensure.20 CSR 2015-2.020(3) ↗
RestorationSource checked
Within two years of expiration: fee, documentation and continuing education; after two years the applicant reapplies.RSMo 324.493; 20 CSR 2015-2.020(4) ↗
Renewal fee and late feeSource checked
The biennial renewal fee is $100 and the late renewal fee is $50.20 CSR 2015-1.030 ↗
05

What to confirm

Rules after you open

Title and license informationSource checked
A licensed acupuncturist uses the abbreviation L.AC. or the title Licensed Acupuncturist after their name, must ensure the license bears their current legal name, and must report a changed name or address within 30 days.20 CSR 2015-1.020 ↗
Records, advertising, and telehealthWe haven’t confirmed this from an official source yet. If you know the statute, rule or board page that answers it, share it and we’ll check it.
Board rules in 20 CSR 2015 on records retention, advertising and telehealth were not found in the chapters read.Know this? Share an official source
06

Go to the source

Official resources

LawSource checked
RSMo chapter 324, acupuncture sections 324.475–324.499Open ↗
RulesSource checked
20 CSR 2015-2, acupuncturist licensure requirementsOpen ↗

Community review

Help improve the Missouri page.

Fix an error, fill a research gap, or share a newer official source. Contributions enter a review queue and never change the guide automatically.

Do not include patient names, health information, or other confidential information.

Reports go to the Licensing Corrections tab of Goji’s research spreadsheet.

Frequently asked

Licensing questions, answered.

Is this legal or licensing advice?

No. It points you to the responsible state authority and the statutes, rules and forms that apply, and says what to confirm. The board’s own decision controls, so confirm your situation with it before you apply or practice.

What do “Source checked,” “Needs review” and “Help wanted” mean?

Source checked means the claim was read against a named official page. Needs review means we found something but could not fully confirm it, or sources disagree. Help wanted means we have not confirmed it from an official source yet and would welcome one. None of these is a statement that a rule does not exist.

Has every state page been independently verified?

Not yet. Every state has a first research pass from official sources, and a separate verification pass is still under way. Each page shows the date its sources were last opened. Fees and deadlines change, so check the linked board page before relying on them.

Why do Oklahoma and South Dakota have so little?

We did not find a licensing act for either state, only bills that were introduced. That is not proof that practice is unregulated or prohibited, so those pages say what we found and stop there.

A fact on my state’s page is wrong or out of date. What do I do?

Use the correction form on that state’s page. Send the official source link if you have one. We review every report against the controlling source before anything changes; nothing updates automatically. Do not include patient or confidential information.

Does it say whether I can prescribe or sell herbs?

Each state has its own herbal section that separates recommending herbs from dispensing, compounding or selling them, because states treat those differently. Where the rules were not found or not clear, the section says so.

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