An application for licensure by reciprocity pursuant to Subchapter 3 of Section 17-90-302 of Act 397 of 1991, shall be filed with the Secretary of the Board and shall set forth the name, address, date of birth, and the place or places where the applicant has engaged in the practice of optometry for the three (3) years immediately preceding the application. This application shall contain the names of at least three persons not related to the applicant with whom the applicant has been associated in the last five years. Such application shall also state whether or not the applicant has ever been convicted of a crime, or has ever had his license to practice optometry in other states revoked or suspended.
Such application shall also set forth the educational and professional qualifications of the applicant.
The application shall contain astatement by the applicant that he is willing to abide by the laws of this State and the rules and regulations of this Board, and such application shall be subscribed by the applicant and sworn to by him before an officer qualified to administer oaths by the laws of this State.
The application shall be accompanied with a fee of $400.00. It shall be understood by the applicant that the application fee is to cover the cost of investigation and examination felt necessary by the Board.
Any person from another slate desiring to engage in the practice of optometry in this state may be issued a licensure by endorsement at the sole discretion of the State Board of Optometry upon satisfactory proof that he or she:
The applicant shall pay a fee to the State Board of Optometry of $400.00 (equal to the fee of a new applicant) to cover the administrative costs of the application process.
An application for licensure by endorsement shall be accompanied by:
Upon furnishing satisfactory proof of fitness, the State Board of Optometry in its discretion may issue a license to practice optometry to the applicant without further cost except as otherwise provided in the Rules and Regulations for the renewal of licenses.
007.33.20 Ark. Code R. 010