A.
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.
B. A licensee shall submit the licensure renewal fee required
in R4-18/107 to the Board by mail or in person.
Notes
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.
