Section R4-18-903. Application for a Certificate to Dispense; Renewal

A.      An applicant for a certificate to dispense shall submit:

1.        An application to the Board that contains:

a.         The applicant’s:

i.         Full name;

ii.        Naturopathic license number, if known; and

iii.      Social Security number;

b.        If a corporation, a statement of whether the corpora- tion holds tax exempt status;

c.         A statement of whether the applicant holds a drug enforcement number issued by the United States Drug Enforcement Administration, and if so, the drug enforcement number;

d.        A statement of whether the 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 fed- eral or state agency or court of law, and if so, an explanation that includes:

i.         The name and address of the federal or state agency or court having jurisdiction over the matter, and

ii.        The disposition of the matter;

e.         A statement, signed by the applicant, that the appli- cant agrees to conform to all federal and state stat- utes, regulations, and rules; and

f.         The date the application is submitted; and

2.        Unless exempted by A.R.S. § 32-1530, the fee required by the Board.

B.       An applicant for a naturopathic license may request a certifi- cate to dispense as part of a naturopathic license application. When this request is made, approval of the naturopathic license by the Board includes approval of the certificate to dis- pense.

C.      A certificate holder shall renew a certificate to dispense on or before July 1 of each year by submitting:

1.        An application to the Board that contains:

a.         The applicant’s full name;

b.        If a corporation, a statement of whether the corpora- tion holds tax exempt status;

c.         A statement of whether the applicant has had the authority to prescribe, dispense, or administer a nat- ural substance, drug, device limited, restricted, mod- ified, denied, surrendered or revoked by a federal or state agency or court of law, during the one year period immediately preceding the renewal date and if so, an explanation that includes:

i.         The name and address of the federal or state agency or court having jurisdiction over the matter; and

ii.        The disposition of the matter; and

d.        A statement, signed and dated by the applicant, veri- fying the information on the application is true and correct and the applicant is the licensee named on the application; and

2.        Unless exempted by A.R.S. § 32-1530, the fee required by the Board.

D.      The Board shall grant or deny the certificate to dispense or renewal of certificate to dispense according to the time-frames in 4 A.A.C. 18, Article 7, Table 1.

Historical Note

New Section made by final rulemaking at 19 A.A.R.

1302, effective July 6, 2013 (Supp. 13-2).