Arizona Administrative Code
Title 4 - PROFESSIONS AND OCCUPATIONS
Chapter 18 - NATUROPATHIC PHYSICIANS MEDICAL BOARD
Article 9 - CERTIFICATE TO DISPENSE
Section R4-18-903 - Application for a Certificate to Dispense; Renewal
Universal Citation: AZ Admin Code R 4-18-903
Current through Register Vol. 30, No. 38, September 20, 2024
A. An applicant for a certificate to dispense shall submit:
1. An
application to the Board that contains:
a.
The applicant's:
i. Full legal
name;
ii. Naturopathic license
number, if known; and
iii. Social
Security number;
b. If a
corporation, a statement of whether the corporation 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 federal 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 applicant agrees to conform to all
federal and state statutes, 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. 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 legal
name;
b. If a corporation, a
statement of whether the corporation holds tax exempt status;
c. A statement of whether the applicant has
had the authority to prescribe, dispense, or administer a natural substance,
drug, device limited, restricted, modified, 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, verifying 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.
C. 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.
Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
