Though laws from state to state tends to vary, generally, the option (A) a permanent revocation of the drivers license will occur, no matter where receive your fourth DUI conviction.
In the case of a driver’s license revocation, you will have to apply for a new driver’s license since your current driver’s license would be taken away.
Suspension of your driver’s license might occur during your first DUI conviction or even your third – but by your fourth DUI conviction, revocation is more likely to occur. Imprisonment is also a high possibility in a fourth DUI conviction, but time spent in jail generally ranges from 3-4 years, and a five-year jail sentence is not the norm.