Section R4-18-209. Reinstatement of a Suspended, Revoked, or Sur- rendered License or Certificate

A.      A person may apply to the board for the termination of the sus- pension or reissuance of a revoked license. Pursuant to A.R.S.

§ 32-1551, the board shall make its determination on each application as it deems consistent with the public health, safety and just in the circumstances. The applicant must 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.        Applicant's place and date of birth;

c.         Applicant's Social Security number;

d.        Applicant's home, business, and e-mail addresses;

e.         Applicant's 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.        Documentation showing that the basis for the sus- pension or revocation has been removed, and that suspension termination or reinstatement of the license or certificate, does not constitute a threat to the public health or safety;

i.         A list of all license or certificates issued or denied by any agency in any state, district or territory of the United States or another country. Applicant must cause to have a document submitted directly to the Board from each agency listed, containing the appli- cant'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 con- test to a felony or a misdemeanor;

k.        Whether applicant has ever had a naturopathic medi- cal license or certification, or any other health pro- fession license or certification denied, suspended, rejected or revoked by any agency in any state, dis- trict or territory of the United States or another coun- try;

l.         Whether applicant has ever been disciplined by any agency in any state, district or territory of the United States or another country, for any act of unprofes- sional 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 in any state, district or terri- tory of the United States or another country;

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, district or terri- tory of the United States or another country;

o.        Whether applicant has ever had the authority to pre- scribe, 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 in any state, district or territory of the United States or another country;

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 prac- tice medicine, and;

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

2.        A complete and legible fingerprint card, including the DPS processing fee as specified on the application form;

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.        Proof of completion of 30 hours of CME for each year the license has been suspended or revoked. The CME is in addition to the 30 hours required each year for license renewal, must cover clinical application of naturopathic medical philosophy and pharmacology, and, be accred- ited by the Accreditation Council on Continuing Educa- tion, or approved by any of the programs listed in R4-18- 205(B)(2);

B.       An applicant for reinstatement of a suspended or revoked cer- tificate to dispense shall submit a complete renewal form, along with the fee specified in R4-18-107;

C.      An applicant who held a specialty certificate that was sus- pended or revoked with the license, may request reinstatement of the certificate on the application for reinstatement of the medical license.

D.      An applicant seeking licensure after the surrendered of a license or certificate must apply and meet the requirements as a new applicant.

Historical Note

New Section made by final rulemaking at 21 A.A.R. 2009, effective September 1, 2015 (Supp. 15-3).