I believe that in California and many other states nurses must have 
continuing education, just like physicians, to maintain their licensure.  Nurse 
midwives and nurse practicitioners are also LICENSED as advanced practice nurses.  
The only people that are able to bill MediCAL (Medicare) are LICENSED.

If lactation consultants want to be taken seriously by other healthcare 
professionals and paid for all their good work, they will seek licensure.

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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