21 NCAC 32S .0206          LICENSE REACTIVATION

(a)  A physician assistant may apply to reactivate his/her license if:

(1)           he/she had a license in North Carolina;

(2)           the license was placed on inactive status within the past calendar year; and

(3)           the licensee did not become inactive as a result of disciplinary action or to avoid disciplinary action.

(b)  A physician assistant requesting reactivation shall:

(1)           complete the board's reactivation application;

(2)           pay to the board a nonrefundable fee of one hundred twenty dollars ($120), plus the cost of a criminal background check;

(3)           submit to the board two completed original fingerprint record cards, on fingerprint record cards provided by the Board;

(4)           submit to the board a completed signed and dated original Authority for Release of Information Form allowing a search of local, state, and national files to disclose any criminal record;

(5)           submit National Practitioner Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB) reports, dated within 60 days of their submission to the board;

(6)           submit a board action data bank inquiry from the Federation of State Medical Boards (FSMB), dated within 60 days of its submission to the board;

(7)           provide documentation to the board verifying completion of 100 hours of continuing medical education during the preceding two years; and

(8)           supply any other information the board deems necessary to evaluate the applicant's qualifications.

(c)  An applicant may be required to appear in person for an interview.

History Note:        Authority G.S. 90-9.3; 90-18(c)(13); 90-18.1;

Eff. September 1, 2009;

Pursuant to G.S. 150B-21.3A rule is necessary without substantive public interest Eff. March 1, 2016.