Section R4-21-205. License Renewal

A.       To continue practicing the profession of optometry in Arizona, a licensee shall renew the licensee’s license and certificate of

special qualification, if applicable, on or before the date on which the license and certificate expire. Timely renewal is a licensee’s responsibility. As a courtesy, the Board may provide a licensee with notice that the licensee’s license is going to expire. Failure to obtain notice of the need to renew is not good cause for failing to renew.

B.       To renew a license and, if applicable, certificate of special qualification, a licensee shall submit to the Board a license renewal application and provide the following information:

1.        Whether  the  licensee  wants  to  renew  the  licensee’s

license and, if applicable, certificate of special qualifica- tion;

2.        The licensee’s current mailing address and telephone and fax numbers;

3.        The licensee’s current residential address, e-mail address, and residential and mobile telephone numbers;

4.        The licensee’s current permanent and temporary practice addresses and telephone and fax numbers;

5.        A statement of whether the licensee:

a.         Has practiced the profession of optometry within the last two years;

b.        Has been denied the right to take an examination for optometric licensure by any state or jurisdiction within the preceding two years and if so, the name of the state or jurisdiction, date, and reason for the denial;

c.         Has been denied an optometric license or renewal in any state or jurisdiction within the preceding two years and if so, the name of the state or jurisdiction, date, and reason for denial;

d.        Has had a license or certificate of registration to practice the profession of optometry suspended or revoked by any optometric regulatory agency within the preceding two years and if so, the name of the optometric regulatory agency, date, action taken, reason for the action, and current status;

e.         Has had disciplinary action instituted against the lic- ensee by any optometric regulatory agency within the preceding two years and if so, the name of the optometric regulatory agency, date, nature of the dis- ciplinary action, reason for the disciplinary action, and current status;

f.         Has had an investigation conducted within the pre- ceding two years or has an investigation pending by an optometric regulatory agency of any state or jurisdiction and if so, name of the optometric regula- tory agency and the state or jurisdiction, date, reason for the investigation, and current status;

g.        Has been convicted of, pled guilty or no contest to, or entered into diversion in lieu of prosecution for any criminal offense in any jurisdiction of the United States or foreign country within the preced- ing two years, and if so, the name of the jurisdiction, date, offense charged, offense for which convicted, pled guilty, or no contest, and current status;

h.        Has been addicted to narcotic substances or habitu- ally abused alcohol within the preceding two years and if so date, steps taken to address the addiction or abuse, and current status;

i.         Is presently addicted to narcotic substances or habit- ually abuses alcohol and if so, why the addiction or abuse does not amount to unprofessional conduct;

j.         Has had the authority to prescribe, dispense, or administer pharmaceutical agents limited, restricted, modified, denied, surrendered, or revoked by a fed- eral or state agency within the preceding two years and if so, name of agency taking action, nature of

action taken, date, reason for action, and current sta- tus; and

k.        Is in compliance with the provisions of A.R.S. § 32- 3211;

6.        The following information about each approved continu- ing education attended by the licensee during the preced- ing two years:

a.         Name of continuing education provider,

b.        Title,

c.         Date of attendance, and

d.        Number of hours of attendance, and

7.        The licensee’s dated signature affirming that the informa- tion provided is true and correct.

C.       In addition to the license renewal application required under subsection (B), a licensee shall submit to the Board:

1.        The license renewal fee listed at R4-21-102(B), and

2.        The certificate of special qualification fee required under

A.R.S. § 32-1727 if the licensee has a certificate of spe- cial qualification, or

3.        Written documentation that the licensee is currently certi- fied in cardiopulmonary resuscitation if the licensee has a pharmaceutical agents number.

D.       A licensee who fails to renew the licensee’s license and, if applicable, certificate of special qualification within 30 days after the date of expiration, may apply for late renewal by complying with subsections (B) and (C) within four months after the date of expiration and paying the late renewal fee listed at R4-21-102(B).

E.       A licensee who fails to renew timely and fails to comply with subsection (D) shall not engage in the practice of the profes- sion of optometry. The holder of a license that is not renewed within four months after the date of expiration may apply under R4-21-206 for license reinstatement but is not eligible for license renewal.

F.        If a licensee timely applies for license renewal or complies with subsection (D), the licensee’s license and, if applicable, certificate of special qualification remain in effect until the license renewal is granted or denied.

Historical Note

Adopted effective February 7, 1986 (Supp. 86-1).

Amended effective April 1, 1991 (Supp. 91-2). Section R4-21-205 renumbered to R4-21-207; new Section R4- 21-205 adopted effective November 5, 1998 (Supp. 98- 4). Amended by final rulemaking at 6 A.A.R. 3812, effec- tive September 13, 2000 (Supp. 00-3). Amended by final

rulemaking at 11 A.A.R. 1864, effective May 3, 2005 (Supp. 05-2). Former R4-21-205 renumbered to R4-21- 207; new R4-21-205 renumbered from R4-21-204 and amended by final rulemaking at 14 A.A.R. 12, effective February 2, 2008 (Supp. 07-4).