damn, nevada charges 150/year (yearly renewals are needed) plus the dmv charges another 15 bucks or so for the actual license, which is almost an exact copy of our driver's lincenses! then there's another 100 bucks for the doctor's signature...and it's not tax deductable either. i tried itemizing it a few years ago and figures i'd be audited at that time where it was found and disallowed. not that it mattered as i had plenty of other deductibles...but getting back to my point; nevada med patients need to scrape up nearly $300 every year to stay legal!