Ariz. Admin. Code § 4-18-206

Current through Register Vol. 30, No. 50, December 13, 2024

Section R4-18-206 - Renewal of a License

To renew a license to practice naturopathic medicine, on or before January 1 of each year, a licensee shall submit a complete license application renewal form, that allows the Board to determine whether the applicant continues to meet the requirements of A.R.S. Title 32, Chapter 14. If an applicant makes a timely and complete application for renewal of the applicant's license, the physician may continue to practice until the application is approved or denied by the Board.

1. A completed application form, provided by the Board that is signed, dated, and verified, which shall include the following information;

a. Applicant's full name;

b. Applicant's State of Arizona Naturopathic Physicians Medical License number and initial issuance date of the license;

c. Applicant's home, business, and e-mail addresses, and choice of mailing address;

d. Applicant's home, business, and cell phone numbers;

e. Applicant's attestation of completion of the Continuing Medical Education credit hours required to renew the medical license;

f. A statement of whether during the last 12 months applicant was arrested, charged with, convicted of, or entered into a plea of no contest to any criminal act;

g. A statement of whether during the last 12 months applicant had any licensing agency or board initiate or take any action against any license or certificate that is or was held;

h. A statement of whether during the last 12 months applicant entered into a consent agreement or stipulation with any agency in lieu of disciplinary action;

i. A statement of whether during the last 12 months applicant was named in a malpractice suit;

j. A statement of whether applicant has a complaint currently pending before any agency, or court of law; in any state or territory of the United States;

k. A detailed explanation and supporting documentation for each affirmative answer to questions regarding the applicant's background;

2. The fee specified in R4-18-107.

Ariz. Admin. Code § R4-18-206

New Section made by final rulemaking at 8 A.A.R. 3702, effective August 9, 2002 (Supp. 02-3). Amended by Final rulemaking at 21 A.A.R. 2009, effective 9/1/2015.