Form an LLC or Professional Limited Liability Company (PLLC)In all States that require PLLCs, notification and approval of the State regulatory board for that profession must be obtained. For instance, a physician partnering with other doctors in a PLLC would have to get approval from the State Medical Board before filing with the Secretary of State.
Difficulties arise when a licensed member dies, loses their license or wishes to exit the PLLC. In some cases, the company has to be dissolved (and perhaps recreated). Transfer of ownership in a sale may also have restrictions at the State level.