Arizona Administrative Code
Title 4 - PROFESSIONS AND OCCUPATIONS
Chapter 21 - BOARD OF OPTOMETRY
Article 2 - LICENSING PROVISIONS
Section R4-21-202 - Licensure by Endorsement

Universal Citation: AZ Admin Code R 4-21-202

Current through Register Vol. 30, No. 52, December 27, 2024

A. An individual is eligible to apply for licensure by endorsement if the individual:

1. Graduated from an accredited optometry program;

2. Is licensed to practice the profession of optometry in another state that has licensing requirements that the Board determines meet or exceed Arizona's requirements;

3. Has engaged in the practice of the profession of optometry continuously in the other state or military for at least four of the five years before the date of application; and

4. Has not had a license to practice the profession of optometry suspended or revoked by any licensing jurisdiction for a cause that is a ground for suspension or revocation of a license in Arizona.

B. To apply for licensure by endorsement, an individual who is eligible under subsection (A) shall submit the application form described in R4-21-201(B).

C. In addition to complying with subsection (B), an applicant for licensure by endorsement shall submit or have submitted on the applicant's behalf:

1. The materials required under R4-21-201(C)(1) through (C)(4) and (C)(6) through (C)(10);

2. A state board certification and license verification form, which is submitted directly to the Board from the state that issued the license on which the applicant's endorsement application is based, indicating:
a. Name and title of the individual completing the verification form;

b. Applicant's optometry license number in the state;

c. Date on which the applicant was issued an optometry license by the state;

d. A statement of whether the applicant:
i. Has been licensed in the state for at least four of the last five years;

ii. Is certified to use topical diagnostic, topical therapeutic, or oral pharmaceutical agents and if so, the date on which the certification was obtained;

iii. Is currently in good standing in the state;

iv. Is known to be licensed to practice the profession of optometry in another state and if so, the name of the other state;

v. Has been subject to any disciplinary action and if so, the date, nature of, and reason for the disciplinary action; and

vi. Is subject to any pending investigation or complaint and if so, the nature of the investigation or complaint; and

e. The dated, notarized signature of the individual completing the verification form; and

3. A letter on official letterhead, in substantially the form provided by the Board, from a representative of the accredited optometry program at the educational institution from which the applicant graduated, providing details that demonstrate the applicant's education meets the standards at R4-21-207; and

4. If the applicant does not meet the requirements listed in R4-21-201 or R4-21-202(A)(2), a current certificate issued by the CELMO or its successor organization.

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.