20 CSR 2015-2.010 - Application for Licensure
(1) Application for licensure shall be made
on a form provided by the Acupuncturist Advisory Committee. Applications may be
obtained by written request to the advisory committee at PO Box 672, Jefferson
City, MO 65102-0672, or by calling the advisory committee office at (573)
751-1655 or contacting the advisory committee by e-mail at
acupunct@mail.state.mo.us.
(2) The
application shall be printed in black ink, signed, notarized, and accompanied
by all documents required by the advisory committee and the application fee as
defined in 20 CSR
2015-1.030(3)(A). Documentation
includes, and is not limited to, the following:
(A) Two (2) sets of fingerprints. Any fees
due for a fingerprint background check shall be paid by the applicant directly
to the Missouri State Highway Patrol or its approved vendor(s);
(B) Proof that the applicant is at least
twenty-one (21) years of age as demonstrated by one (1) of the following;
1. Driver's license or identification (ID)
card issued by a state or jurisdiction of the United States provided the ID
includes a photograph and date of birth;
2. ID card issued by federal, state, or local
government agency or entity provided the ID includes a photograph and date of
birth;
3. Certified copy of a birth
certificate issued by a state, county, municipal authority or jurisdiction of
the United States bearing an official seal;
4. United States citizen ID card provided
that the ID includes the date of birth;
5. ID card used as a resident citizen in the
United States provided the ID includes the date of
birth.
(3) An
applicant for licensure based upon certification by the National Commission for
the Certification of Acupuncture and Oriental Medicine (NCCAOM) shall be
currently certified as a diplomate in acupuncture by NCCAOM. The applicant is
responsible for authorizing NCCAOM to verify certification and notify the
advisory committee.
(A) An applicant for
licensure with a course of study from a school or program outside the United
States may be considered in compliance with these rules if the applicant is
certified as a diplomate in acupuncture by NCCAOM.
(4) A person applying for licensure based
upon current licensure, certification, or registration in another state or
jurisdiction of the United States shall comply with sections (1) and (2) of
this rule and submit the following:
(A)
Verification of licensure, certification, or registration as an acupuncturist
to be provided directly to the advisory committee office from the state or
jurisdiction of the United States regulatory agency that shall include:
1. Status of the applicant's
license;
2. License original issue
date and if there has been any lapse in the license;
3. License expiration date; and
4. Information regarding any complaints,
investigations, or disciplinary
action.
Notes
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