Missouri Respiratory Therapist Licensing Guide
License Snapshot
Processing Time
8-12 weeks
From complete application
Application Fee
$40
Renewal: $30 · Temp license available
Credential
NBRC
Required national certification
CE Required
24 hours
Every 2 years
Overview
Missouri does not participate in an interstate compact for respiratory therapy. Travelers must obtain an individual Missouri license through the endorsement process before practicing in the state, regardless of what licenses they hold elsewhere.
Endorsement Process
Missouri uses a paper application (form 375-1094) mailed to board with check/money order endorsement process for respiratory therapists already licensed in another state. You'll need to submit your completed application along with supporting documents and the $40 application fee.
- Submit endorsement application via Missouri board portal
- Request license verification from current state (via NBRC or direct) (can run concurrently)
- Complete any state-specific requirements (background check, etc.) (can run concurrently)
- Await board review and license issuance
License verification is handled through NBRC or direct board verification. Missouri requires verification from every state where you hold or have held a respiratory therapist license, so request verification early to avoid delays.
Background check requirements vary by applicant — confirm the current fingerprinting and screening steps with the Missouri Board for Respiratory Care. Where fingerprinting applies, submit your authorization as early as possible, since background check processing is one of the most common sources of delay.
After all components are received, the Board reviews applications on a rolling basis. Check the Missouri Board for Respiratory Care website for status updates on your application.
Fees
| Fee | Amount |
|---|---|
| Endorsement Application | $40 |
| Renewal | $30 (every 2 years) |
| Temporary License | $20 |
Travelers should factor these licensing costs into their assignment budgeting. Many staffing agencies, including Fusion Medical Staffing, offer licensure reimbursement programs to help offset these expenses.
Temporary License
Missouri issues temporary respiratory therapy licenses valid for 6 months, allowing respiratory therapists to begin practicing while their permanent endorsement application is being processed. For travelers, this is often the fastest path to starting an assignment.
Eligibility requirements:
- Complete endorsement application submitted via Missouri board portal
- Proof of valid NBRC credential or equivalent respiratory therapy qualification from another state
- No disqualifying criminal history or disciplinary issues
Issuance timeline:
- Endorsement application deemed complete and accepted by board
- Verification of current valid license from prior state received
- Background check cleared (no red flags identified)
Denial risks:
- Criminal conviction or felony related to patient safety or fraud
- Active disciplinary action or license suspension/revocation in any state
- False information on application
Important for travelers: Temporary license revoked if permanent license is denied for any reason. Automatic revocation upon expiration (6 months) if permanent license not issued or denied. Early revocation if board discovers fraud in application or unlawful conduct during temp license period.
Processing Time
Missouri respiratory therapist endorsement applications typically take 8-12 weeks to process. The timeline is subject to moderate variability depending on the completeness of your application and external factors.
In the best-case scenario, processing can be as fast as 6 weeks if temp license issued immediately and permanent license approved at first board meeting.
Common sources of delay:
- Board meets monthly; applications submitted after cutoff wait 4-6 weeks for next review cycle
- Verification from current state (NBRC or direct board contact) can take 2-3 weeks if NBRC system is slow or previous board has backlogs
- Background check processing varies; state-specific checks may add 1-2 weeks if applicant has any flag requiring clarification
Missouri does not offer an expedited processing track. The best way to minimize your wait time is to ensure all application components — fingerprints, verification, and any required exams — are completed before or immediately after submitting your application.
Continuing Education
Missouri requires 24 contact hours of continuing education every 2 years for respiratory therapist license renewal.
- Traveler tip: Keep all CE documentation organized and easily accessible — Missouri may audit compliance at any time
Renewal Process
- Renewal cycle: Every 2 years — $30 via Missouri Board of Respiratory Therapy portal
- Renewal timing: Prior to July 31st.
- Traveler tip: Track your Missouri license expiration date carefully — a lapsed license can disrupt active assignments
Official Resources
Missouri Board for Respiratory Care
Board Website·Application Portal
Phone: 573-522-5864
Email: [email protected]
Frequently Asked Questions
Last verified: April 15, 2026. Please note that while Fusion Medical Staffing strives to provide the most current and accurate information, we cannot guarantee the completeness or timeliness of the information provided. Requirements and processes can change frequently. Healthcare professionals are strongly encouraged to verify details directly with Missouri Board for Respiratory Care's official website.
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Breathe in through your nose, hold, and exhale through your mouth. Repeat at least twice a day, as needed.
