(a) If the licensee
holds an optometry license that is not restricted, the licensee may apply for a
retired status license by submitting
(1) a
completed application on a form provided by the department;
(2) the applicable fee established in
12 AAC 02.300.
(b) The board will issue an active
license to practice optometry, with prescriptive authority as described in
AS
08.72.272, as appropriate, to a person
holding a retired status license under
AS
08.72.185, for five years or less in this
state if the applicant meets the requirements of AS 08.72 and this chapter and
submits a completed and notarized application on a form provided by the
department. The completed application must include
(1) documentation of satisfying
AS
08.72.140(2) and (3) and
08.72.181(d)and(e);
(2) the applicable fees established in
12 AAC 02.300; and
(3) documentation of satisfying the
continuing education requirements under AS 08.72 and
12 AAC 48.200 -
12 AAC 48.230 that would have been
required to maintain an active license during the period the person held the
retired status license.
(c) The board will issue an active license to
practice optometry, with the prescriptive authority as described in
AS
08.72.272, to a person holding a retired
status license that has been retired for more than five years, but less than 10
years, if the applicant meets the requirements of AS 08.72 and this chapter and
submits the following:
(1) a completed and
notarized application on a form provided by the department;
(2) the applicable fees established in
12 AAC 02.300;
(3) documentation showing the applicant has
engaged in 400 hours of clinical practice per year in another state or
territory of the United States or in a province of Canada under an active
license to practice optometry in that jurisdiction and the practice was not
earlier than the two years immediately before the date of
application;
(4) the completed
Alaska State Optometry Law examination required under
12 AAC 48.015(a)
(3);
(5) a statement of the dates and places of
employment involving the clinical practice of optometry after the license was
retired under AS 08.72;
(6)
verification from all licensing jurisdictions in which the applicant holds or
has ever held a license to practice optometry in another state or a territory
of the United States or in a province of Canada, if any, for the entire period
the license has been retired under AS 08.72, showing that the applicant's
license has not been the subject of any disciplinary action and that there are
no pending or unresolved actions against the applicant; to be considered under
this paragraph, the verification must be sent directly to the department from
the licensing jurisdiction;
(8) a license
that has been retired for 10 years or more may not be converted under
AS
08.72.185 to an active or inactive license,
and the former licensee must apply for a new license under 08.72 and this
chapter.
