N.H. Code Admin. R. Opt 302.02 - Requirements for Licensure by Endorsement
Current through Register Vol. 42, No. 14, April 7, 2022
Each applicant for licensure by endorsement shall meet the requirements of Opt 301.01, and provide the following additional information:
(a) A
chronological record of the applicant's professional practice from
the date of first licensure in any jurisdiction, including the name
and address of the practice, and a thorough description of the nature
of the practice;
(b) A
statement as to whether the applicant has been the subject of
disciplinary action of any kind by an optometric or other
professional licensing authority, or has entered into a settlement
agreement or consent decree with any such licensing authority, and,
if so, the name of the licensing authority and a complete description
of the misconduct alleged and the discipline or settlement
involved;
(c) A statement
as to whether, at the time of application, the applicant is the
subject of a misconduct investigation or disciplinary proceeding, or
is negotiating a settlement of any misconduct allegations, with an
optometric or other professional licensing authority in any
jurisdiction, and, if so, the name of the licensing authority and a
complete description of the misconduct alleged or the settlement
involved; and
(d) The
name and address of any optometric specialty or certification board
with which the applicant is now, or has previously been,
credentialed, and the dates during which the applicant was
credentialed.
Notes
(See Revision Note at part heading for Opt 100) #5839, eff 6-17-94, EXPIRED: 6-17-00
New. #7433, eff 1-25-01, EXPIRED: 1-25-09
New. #9558, eff 10-6-09
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