052-1 Wyo. Code R. § 1-8
(a) All fees are non-refundable.
(b) Requested paperwork shall not be processed until appropriate fees are received by the board.
(c) Application fees shall be paid to the board in the form of cashier's check or money order. All other fees shall be paid to the board in the form of a check, cashier's check or money order; however, on-line applications for licensure or renewal of licenses may be paid by credit card.
Application and initial license fee [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] ...................................... $600.00
($500.00 for persons holding a current T-2 license)
Paper form license application processing fee
................................................................................................................................................. $50.00
Annual renewal of license (including administrative license)
............................................................................................................................................... $240.00
Paper form renewal application processing fee
................................................................................................................................................. $25.00
License renewal grace period surcharge:
................................................................................................................................................. $100.00
Reactivation of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and license (if granted) through June 30th]
............................................................................................................................................... $400.00
Reinstatement of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and license (if reinstatement is granted)] [Costs may also be imposed in addition to the reinstatement fee.] ............................................................................................................................................... $400.00
Inactive license, conversion to (one-time fee)
................................................................................................................................................. $50.00
Inactive license renewal .................................................................................................... No charge
First-year residency training license ("T-1" license)
................................................................................................................................................. $25.00
Second-year residency training license ("T-2" license)
............................................................................................................................................... $100.00
Residency training license ("T-2" license) renewal
............................................................................................................................................... $100.00
Volunteer license
................................................................................................................................................. $75.00
Verification of license
................................................................................................................................................. $35.00
Replacement of lost license - pocket size (No charge if the licensee uses the Board's on-line system to print the replacement license.)
................................................................................................................................................. $25.00
License - wall size
................................................................................................................................................. $50.00
Physician directory to non-licensees - per copy
................................................................................................................................................. $45.00
Physician mailing list
............................................................................................................................................... $500.00
Physician assistant mailing list ............................................................................................................................................... $100.00
Physician and physician assistant mailing lists
............................................................................................................................................... $550.00
Certified copies ..................................................................................................... First page: $10.00
Additional pages: $.50
Photocopies (except certified copies), including cost of duplication of transcript(s) and administrative record in appeals from contested case hearings [Ch. 7 § 14(b) ] ..... First page: $2.00
Additional pages: $.10
052-1 Wyo. Code R. § 1-8
Amended, Eff. 9/10/2015.
Amended, Eff. 10/18/2017.
Amended, Eff. 2/1/2019.