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The Missouri State Board of Nursing licenses registered nurses and practical nurses. Missouri is a Nurse Licensure Compact (Compact) state, meaning that nurses licensed by another Compact state do not need to apply for licensure unless they plan to make Missouri their primary state of residency.
Select license type you’re applying for:

Registered Nurse - Initial Licensure
Service(s) Required
English Language Proficiency Exam Results
English Language test scores are required to be submitted to CGFNS for CES
Accepted English Language Proficiency Test Agencies and Scores:
- TOEFL Overall Score: 83; Speaking Score: 26
- IELTS: Overall Scores 6.5; Speaking: 7.0
- TOEIC: Listening and Reading modules: 900; Speaking module: 180; Writing module: 170
- MET: Overall Score: 58; Speaking Score: 59
- OET: Speaking Score: 350; Reading Score 300, Listening Score: 300; Wring Score: 300
- PET: Overall Score: 56; Speaking Score: 66
Notes
Applicants are English Exempt if they were educated in Australia, Barbados, Canada (except Quebec), Ireland, Jamaica, New Zealand, South Africa, Trinidad/Tobago, United Kingdom, United States (except Puerto Rico)
Please note: English Language Proficiency Exam Results must be current within 2 years of applying.
The English Language Proficiency Report is optional to be sent with the CES Report and is not a requirement. Applicants can either purchase the English Language Proficiency Report with TruMerit to be sent along with the Credential Evaluation Report or English Language scores can be sent directly to the Board via the testing agency.
Registered Nurse - Endorsement
Service(s) Required
English Language Proficiency Exam Results
English Language test scores are required to be submitted to CGFNS for CES
Accepted English Language Proficiency Test Agencies and Scores:
- TOEFL Overall Score: 83; Speaking Score: 26
- IELTS: Overall Scores 6.5; Speaking: 7.0
- TOEIC: Listening and Reading modules: 900; Speaking module: 180; Writing module: 170
- MET: Overall Score: 58; Speaking Score: 59
- OET: Speaking Score: 350; Reading Score 300, Listening Score: 300; Wring Score: 300
- PET: Overall Score: 56; Speaking Score: 66
Notes
Applicants are English Exempt if they were educated in Australia, Barbados, Canada (except Quebec), Ireland, Jamaica, New Zealand, South Africa, Trinidad/Tobago, United Kingdom, United States (except Puerto Rico)
Please note: English Language Proficiency Exam Results must be current within 2 years before or after issuance of original US licensure.
The English Language Proficiency Report is optional to be sent with the CES Report and is not a requirement. Applicants can either purchase the English Language Proficiency Report with TruMerit to be sent along with the Credential Evaluation Report or English Language scores can be sent directly to the Board via the testing agency.
Licensed Practical Nurse - Initial Licensure
Service(s) Required
English Language Proficiency Exam Results
English Language test scores are required to be submitted to CGFNS for CES
Accepted English Language Proficiency Test Agencies and Scores:
- TOEFL Overall Score: 83; Speaking Score: 26
- IELTS: Overall Scores 6.5; Speaking: 7.0
- TOEIC: Listening and Reading modules: 900; Speaking module: 180; Writing module: 170
- MET: Overall Score: 58; Speaking Score: 59
- OET: Speaking Score: 350; Reading Score 300, Listening Score: 300; Wring Score: 300
- PET: Overall Score: 56; Speaking Score: 66
Notes
Applicants are English Exempt if they were educated in Australia, Barbados, Canada (except Quebec), Ireland, Jamaica, New Zealand, South Africa, Trinidad/Tobago, United Kingdom, United States (except Puerto Rico)
Please note: English Language Proficiency Exam Results must be current within 2 years of applying.
The English Language Proficiency Report is optional to be sent with the CES Report and is not a requirement. Applicants can either purchase the English Language Proficiency Report with TruMerit to be sent along with the Credential Evaluation Report or English Language scores can be sent directly to the Board via the testing agency.
Licensed Practical Nurse - Endorsement
Service(s) Required
English Language Proficiency Exam Results
English Language test scores are required to be submitted to CGFNS for CES
Accepted English Language Proficiency Test Agencies and Scores:
- TOEFL Overall Score: 83; Speaking Score: 26
- IELTS: Overall Scores 6.5; Speaking: 7.0
- TOEIC: Listening and Reading modules: 900; Speaking module: 180; Writing module: 170
- MET: Overall Score: 58; Speaking Score: 59
- OET: Speaking Score: 350; Reading Score 300, Listening Score: 300; Wring Score: 300
- PET: Overall Score: 56; Speaking Score: 66
Notes
Applicants are English Exempt if they were educated in Australia, Barbados, Canada (except Quebec), Ireland, Jamaica, New Zealand, South Africa, Trinidad/Tobago, United Kingdom, United States (except Puerto Rico)
Please note: English Language Proficiency Exam Results must be current within 2 years before or after issuance of original US licensure.
The English Language Proficiency Report is optional to be sent with the CES Report and is not a requirement. Applicants can either purchase the English Language Proficiency Report with TruMerit to be sent along with the Credential Evaluation Report or English Language scores can be sent directly to the Board via the testing agency.