Application For A License To Practice Podiatric Medicine (Page 6 of 24) in pdf

TEMPORARY PERMIT

After your application for a permanent license is complete, it is forwarded to the board’s executive administrator. Following her

review, she may authorize the issuance of a temporary permit. Since the board only meets four times each year, the temporary

permit is a courtesy to you to allow you to practice until the next board meeting when your file will be considered. The permit

will be mailed to you at the address you specify in your application.

WEBSITE ADDRESS

The Division of Corporations, Business, and Professional Licensing maintains a website where you may obtain general

information about the board or check to see if your license or permit has been issued:

WITHDRAWAL OF APPLICATIONS

The board permits the withdrawal of an application that it has not yet considered at a board meeting. Should you wish to

withdraw your application, please submit a request for withdrawal in writing stating the reason for the withdrawal. Such a

request for withdrawal must be received before the first time the board reviews and considers the application. All

withdrawals are reported to the Federation of State Medical Boards stating the reason for the withdrawal.

“YES” RESPONSES

A “Yes” response in the application does not mean your application will be denied. If you have responded “Yes” to any

question in the application, additional time will be required for the gathering and assessment of pertinent information. You

can expedite this process by providing with your application complete explanations and documentation for any

“Yes” responses.

HOW CAN YOU HELP?

First and foremost: apply far enough in advance to allow for application processing.

If you are concerned about your application being received in our office, mail it Certified - Return Receipt.

If you wish to expedite processing as much as you can, send all your verification request forms out via overnight mail

and include a return overnight mail envelope addressed to the licensing examiner for the organization’s use. This will

help them to respond quickly.

Whenever available use on-line resources to request verification documents such as the AMA Physician Profile.

Insure the application is complete when you submit it and provide any necessary explanations with the application.

Print legibly or type your application.

Provide complete explanations for any “Yes” responses; it saves time if we don’t have to request such information.

Provide a brief description for any malpractice claims describing what the allegation was, the nature of the case,

your level of involvement, and the resolution of the case.

Please – do not sell your house and move to Alaska until you have a permit or license in hand.

QUESTIONS?

CALL

A – K: 907/465-2756

L – Z : 907/465-2541

08-4109 (Rev. 10/15/14)

Application Information

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Application For A License To Practice Podiatric Medicine Page 6