Compilation of Rules and Regulations of the State of Georgia
Department 360 - RULES OF GEORGIA COMPOSITE MEDICAL BOARD.
Chapter 360-35 - LASERS
Rule 360-35-.09 - Change of Name or Address

Universal Citation: GA Rules and Regs r 360-35-.09

RULE 360-35-.09. Change of Name or Address

(1) A licensee shall notify the Board in writing within 30 days after the license holder's name is legally changed. At the time of notification, 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.

(2) Licensees shall notify the Board in writing within 30 days after a change in address of record. Failure to so notify the Board of an address change shall be deemed a violation of this rule and may be grounds for disciplinary action pursuant to O.C.G.A. §43-34-8.

(3) Licensees who utilize 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. §§43-34-5, 43-34-7, 43-34-8, 3-34-244.

(Original Rule entitled "Change of Name or Address" adopted. F. Sep. 14, 2015; eff. Oct. 4, 2015.)
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