Ariz. Admin. Code § 4-18-209

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

Section R4-18-209 - Reinstatement of a Suspended, Revoked, or Surrendered License or Certificate

A. A person may apply to the board for the termination of the suspension or reissuance of a revoked license. Pursuant to A.R.S. § 32-1551, the board shall make its determination on each application as it deems consistent with the public health, safety and just in the circumstances. The applicant must provide the Board with;

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 and any former names used by the applicant;

b. Place and date of birth;

c. Social Security number;

d. Home, business, and e-mail addresses;

e. Home, business, and cell phone numbers;

f. A completed Arizona Statement of Citizenship and Alien Status for State Public Benefits, and copy of evidence;

g. The name of the approved naturopathic college applicant graduated from, date of graduation, and date of clinical training completion;

h. Documentation showing that the basis for the suspension or revocation has been removed, and that suspension termination or reinstatement of the license or certificate, does not constitute a threat to the public health or safety;

i. A list of all license or certificates issued or denied by any agency. Applicant must cause to have a document submitted directly to the Board from each agency listed, containing the applicant's name, date of issuance or denial, current status and whether or not any disciplinary actions are pending or have ever been taken;

j. Whether applicant has ever been arrested, charged with, convicted of, or entered into a plea of no contest to a felony or a misdemeanor;

k. Whether applicant has ever had a naturopathic medical license or certification, or any other health profession license or certification denied, suspended, rejected or revoked by any agency;

l. Whether applicant has ever been disciplined by any agency for any act of unprofessional conduct as defined in A.R.S. § 32-1501;

m. Whether in lieu of disciplinary action, has applicant ever entered into a consent agreement or stipulation with a licensing agency;

n. Whether applicant currently has an open complaint or is involved in any open investigation in any agency or court of law, in any state or territory of the United States;

o. Whether applicant has ever had the authority to prescribe, dispense, or administer a natural substance, drug, or device limited, restricted, modified, denied, surrendered or revoked by a federal or state agency or court of law;

p. Whether applicant has ever been found medically incompetent;

q. Whether applicant has ever been a defendant in any malpractice matter that resulted in a settlement or judgment;

r. Whether applicant has a medical condition that in any way impairs or limits applicant's ability to practice medicine, and;

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

2. A complete and legible fingerprint card, including the DPS processing fee;

3. A passport size photograph taken within 60 days prior to application submission that is signed on the back by the applicant, and;

4. The fees specified in R4-18-107;

5. Proof of completion of 30 hours of CME for each year the license has been suspended or revoked. The CME is in addition to the 30 hours required each year for license renewal, must cover clinical application of naturopathic medical philosophy and pharmacology, and, be accredited by the Accreditation Council on Continuing Education, or approved by any of the programs listed in R4-18-205(B)(2);

B. An applicant for reinstatement of a suspended or revoked certificate to dispense shall submit a complete renewal form, along with the fee specified in R4-18-107;

C. An applicant who held a specialty certificate that was suspended or revoked with the license, may request reinstatement of the certificate on the application for reinstatement of the medical license.

D. An applicant seeking licensure after the surrendered of a license or certificate must apply and meet the requirements as a new applicant.

Ariz. Admin. Code § R4-18-209

Adopted by Final rulemaking at 21 A.A.R. 2009, effective 9/1/2015.