Ill. Admin. Code tit. 68, § 1485.20
c) If the applicant has ever been licensed/registered in another state or territory of the United States, certification, on forms provided by the Division, from the jurisdiction in which the applicant was originally licensed and the jurisdiction in which the applicant predominantly practices and is currently licensed, stating:
An applicant for registration as a surgical technologist shall file an application on forms supplied by the Division, together with:
(Source: Amended at 49 Ill. Reg. 2432, effective February 21, 2025)