Compilation of Rules and Regulations of the State of Georgia
Department 360 - RULES OF GEORGIA COMPOSITE MEDICAL BOARD
Chapter 360-31 - ORTHOTISTS AND PROSTHETISTS
Rule 360-31-.04 - Change of Name or Address

Universal Citation: GA Rules and Regs r 360-31-.04

Current through Rules and Regulations filed through March 20, 2024

(1) A licensee shall notify the Board in writing within 30 days after the licensee's name is legally changed. At the time of notification, the licensee shall submit a certified copy of the official document evidencing the name 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. After receipt of the required notification and documentation, the Board will issue a duplicate license in the new name.

(2) A licensee shall notify the Board in writing within 30 days after a change in the licensee's address of record. Failure to so notify the Board of an address change is a violation of this rule and grounds for disciplinary action.

(3) A licensee who utilizes a post office box as the address of record shall also provide a street address where the Board may contact the licensee.

O.C.G.A. Secs. 43-1-7, 43-34-194, 43-34-195, 43-34-196.

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