20 CSR 2150-7.125 - Late Registration and Reinstatement Applicants
(1)
Whenever a licensed physician assistant fails to renew his/her license before
the license expiration date, his/her application for renewal of license shall
be denied unless it is accompanied by all fees required by statute and rule,
together with a statement of all addresses where s/he has practiced and resided
since the expiration of his/her last period of licensure, the nature of his/her
practice since expiration and whether, since expiration, any registration or
license, or right of his/her to practice in any other state or country has been
suspended or revoked; whether s/he has been the subject of any disciplinary
action by any licensing agency of any state or country or by any professional
organization or society; whether s/he has been charged or convicted of any
crime in any court of any state or country; whether s/he has any impairment to
his/her practice or has been guilty of any unprofessional or dishonorable
conduct as defined by section
334.100, RSMo; and all details
pertaining to all those occurrences. This statement shall be completed upon
forms provided by the board and shall be made by the applicant under
oath.
(2) No application will be
considered unless fully and completely made out on the specified form and
properly attested.
(3) All
applicants must provide, on the application form, a recent unmounted
photograph, in size no larger than three and one-half inches by five inches (3
1/2" × 5").
(4) All
applications shall be sent to the Missouri State Board of Registration for the
Healing Arts, PO Box 4, Jefferson City, MO 65102.
(5) All applicants shall submit the renewal
fee along with the delinquent fee established by the board. This fee shall be
submitted in the form of a cashier's check or money order drawn on a United
States bank made payable to the State Board of Registration for the Healing
Arts. Personal checks will not be accepted.
(6) All applicants shall have verification of
licensure, registration and/or certification submitted from every state and/or
country in which the applicants have ever held privileges to practice. This
verification must be submitted directly from the licensing agency and include
the type of license, registration or certification, the issue and expiration
date, and information concerning any disciplinary or investigative
actions.
(7) All applicants shall
have verification of active certification submitted to the board directly from
the National Commission on Certification of Physician Assistants.
(8) Applicants whose license has been
revoked, suspended, or inactive for more than two (2) years shall submit any
other documentation requested by the board necessary to verify that the
licensee is competent to practice and is knowledgeable of current medical
techniques, procedures, and treatments, as evidenced by continuing education
hours, reexamination, or other applicable documentation acceptable and approved
by the board pursuant to the provisions of section 334.100.6, RSMo.
(9) The board may require an applicant to
make a personal appearance before the board and/or commission prior to
rendering a final decision regarding license renewal/ reinstatement.
(10) An applicant may withdraw his/her
application for license anytime prior to the board's vote on the applicant's
candidacy for license renewal/reinstatement.
Notes
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