Ariz. Admin. Code § 4-18-208

Current through Register Vol. 30, No. 45, November 8, 2024

Section R4-18-208 - Reinstatement of a Retired License

A. A person may apply to reinstate a retired license to active practice, upon payment of the renewal fee. As a condition of reinstatement of a retired license, Pursuant to A.R.S. § 32-1528, each applicant shall provide proof of completion of 30 hours of continuing medical education, and provide the board with:

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 and any former names used by the applicant;

b. Place and date of birth;

c. Social Security number;

d. Home, business, and e-mail addresses;

e. Home, business, and cell phone numbers;

f. A completed Arizona Statement of Citizenship and Alien Status for State Public Benefits, and copy of evidence;

g. The name of the approved naturopathic college applicant graduated from, date of graduation, and date of clinical training completion;

h. The dates applicant retired the license;

i. A list of all license or certificates issued or denied by any agency. Applicant must cause to have a document submitted directly to the Board from each agency listed, containing the applicant's name, date of issuance or denial, current status and whether or not any disciplinary actions are pending or have ever been taken;

j. Whether applicant has ever been arrested, charged with, convicted of, or entered into a plea of no contest to a felony or a misdemeanor;

k. Whether applicant has ever had a naturopathic medical license or certification, or any other health profession license or certification denied, suspended, rejected or revoked by any agency;

l. Whether applicant has ever been disciplined by any agency for any act of unprofessional conduct as defined in A.R.S. § 32-1501;

m. Whether in lieu of disciplinary action, has applicant ever entered into a consent agreement or stipulation with a licensing agency;

n. Whether applicant currently has an open complaint or is involved in any open investigation in any agency or court of law, in any state or territory of the United States;

o. Whether applicant has ever had the authority to prescribe, dispense, or administer a natural substance, drug, or device limited, restricted, modified, denied, surrendered or revoked by a federal or state agency or court of law;

p. Whether applicant has ever been found medically incompetent;

q. Whether applicant has ever been a defendant in any malpractice matter that resulted in a settlement or judgment;

r. Whether applicant has a medical condition that in any way impairs or limits applicant's ability to practice medicine, and;

s. A detailed explanation and supporting documentation for each affirmative answer to questions regarding the applicant's background.

2. A complete and legible fingerprint card, including the DPS processing fee;

3. A passport size photograph taken within 60 days prior to application submission that is signed on the back by the applicant, and;

4. The fees specified in R4-18-107;

5. Provide proof of completion of 30 hours of CME taken, within the last 12 months prior to application submission. The CME is in addition to the 30 hours required each year for license renewal, must cover clinical application of naturopathic medical philosophy, pharmacology, and be accredited by the Accreditation Council on Continuing Education, or approved by any of the programs listed in R4-18-201(B)(2)(a), (b) and (c).

B. An applicant for reinstatement of a retired certificate to dispense must complete the renewal application form for the certificate, and pay the required fee.

C. An applicant who held a specialty certificate that retired with the license, may request reinstatement of the certificate on the application for reinstatement of the medical license.

Ariz. Admin. Code § R4-18-208

Adopted by Final rulemaking at 21 A.A.R. 2009, effective 9/1/2015.