Section R4-18-206. Renewal of a License

To renew a license to practice naturopathic medicine, on or before January 1 of each year, a licensee shall submit a complete license application renewal form, that allows the Board to determine whether the applicant continues to meet the requirements of A.R.S. Title 32, Chapter 14. If an applicant makes a timely and complete application for renewal of the applicant's license, the physician may continue to practice until the application is approved or denied by the Board.

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;

b.        Applicant's State of Arizona Naturopathic Physi- cians Medical License number and initial issuance date of the license;

c.         Applicant's home, business, and choice of e-mail addresses, and choice of mailing address;

d.        Applicant's home, business, and cell phone numbers;

e.         Applicant's attestation of completion of the Continu- ing Medical Education credit hours required to renew the medical license;

f.         A statement indicating whether, during the last 12 months, applicant was arrested, charged with, con- victed of, or entered into a plea of no contest to any criminal act;

g.        A statement indicating whether, during the last 12 months, applicant had any licensing agency or board, in any state, district or territory of the United States or another country, initiate or take any action against any license or certificate that is or was held;

h.        A statement indicating whether, during the last 12 months, applicant entered into a consent agreement or stipulation with any agency in lieu of disciplinary action in any state, district or territory of the United States or another country;

i.         A statement of whether during the last 12 months applicant was named in a malpractice suit;

j.         A statement of whether applicant has a complaint currently pending before any agency, or court of law; in any state, district or territory of the United States or another country;

k.        A detailed explanation and supporting documenta- tion for each affirmative answer to questions regard- ing the applicant's background; and

2.        The fee specified in R4-18-107.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 3702, effective August 9, 2002 (Supp. 02-3). Amended by final

rulemaking at 21 A.A.R. 2009, effective September 1,

2015 (Supp. 15-3).