One of my patients just got an email letting him know his application has been approved. It took nearly exactly 30 days. They told him that it will take another 7-10 days for him to receive the card and that the card will expire 1/31/2022. This is great news - it means that they are accommodating anticipated delays next year when you submit your renewal application. In other words, your certification from me will still expire and need to be renewed before a year from our appointment date, but they will allow your card to stay active while they process your renewal application.