Compilation of Rules and Regulations of the State of Georgia
Department 360 - RULES OF GEORGIA COMPOSITE MEDICAL BOARD.
Chapter 360-2 - LICENSE REQUIREMENTS
Rule 360-2-.04 - Duplicate Licenses

Universal Citation: GA Rules and Regs r 360-2-.04

RULE 360-2-.04. Duplicate Licenses

(1) Duplicate licenses may be issued upon approval by the Board if the original license is lost, stolen, or destroyed, or if the licensee has had a legal change of name. Duplicate licenses are not issued for satellite offices.

(2) To request a duplicate license, the licensee must submit a duplicate request form stating the reason the duplicate license is requested. If the form is based on a name change, the licensee must submit a copy of the official document (marriage certificate, divorce decree or court order) indicating the name change, as well as the date and place of the change. If the name change occurred during naturalization, the application must also include the naturalization number, the name and address of the court, the date of naturalization, and the name change.

(3) All requests must include the duplicate license fee. The duplicate license fee shall be designated in the fee schedule.

O.C.G.A. Secs. 43-1-7, 43-34-5, 43-34-24, 43-34-24.1.

(Original Rule entitled "U.S. Citizenship" adopted. F. and eff. June 30,1965. Repealed: New Rule of same title adopted. F. Oct. 2, 1970; eff. Oct. 22, 1970. Amended: F. Oct. 7, 1971; eff. Oct. 27, 1971. Repealed: F. June 30, 1975; eff. July 20, 1975. Amended: New Rule entitled "Duplicate Licenses" adopted. F. Jan. 24, 2002; eff. Feb. 13, 2002. Repealed: New Rule of same title adopted. F. May, 11, 2012; eff. May 31, 2012.)
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