Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2150 - State Board of Registration for the Healing Arts
Chapter 9 - Licensing of Anesthesiologist Assistants
Section 20 CSR 2150-9.030 - Applicants for licensure

(1) Applicants must present satisfactory evidence of completion of an anesthesiologist assistant program accredited by the American Medical Association's Committee on Allied Health Education and Accreditation, or its successor agency. A copy of the applicant's diploma shall be submitted as evidence of satisfactory completion.

(2) Applicants shall, upon a form provided by the board, designate any and all employers. A change of employer, for any reason, must be submitted to the board within fifteen (15) business days of such occurrence.

(3) Applicants shall have verification of passage of the certifying examination and active certification submitted to the board directly from the National Commission for Certification of Anesthesiologist Assistants.

(4) Applicants are required to make application upon forms prepared by the board.

(5) No application will be considered unless fully and completely made out on the specified form and properly attested pursuant to section 334.404, RSMo.

(6) Applicants shall attach to the application a recent unmounted photograph not larger than three and one-half inches by five inches (3 1/2" x 5").

(7) Applications shall be sent to the State Board of Registration for the Healing Arts, PO Box 4, Jefferson City, MO 65102.

(8) Applicants shall submit the licensure application fee as defined in 20 CSR 2150-9.080 in the form of a personal check, money order or cashier's check drawn on a United States bank and/or firm made payable to the State Board of Registration for the Healing Arts.

(9) Applicants shall have verification of licensure, registration and/or certification submitted from every state and/or country in which the applicants have ever held privileges to practice. This verification must be submitted directly to the board from the licensing agency and include the type of license, registration or certification, the issue and expiration date, and information concerning any disciplinary or investigative actions. If the licensing agency refuses or fails to provide a verification, the board may consider other evidence of licensure.

(10) Applicants must submit a complete curriculum vitae from high school graduation to the date of application submission or for the previous ten (10) years whichever is most recent. This document shall include the name(s) and address(es) of all employers and supervisors, dates of employment, job title, and all professional and nonprofessional activities.

(11) When an applicant has filed an application and an appropriate fee and the application is denied by the board or subsequently withdrawn by the applicant, the fee will be retained by the board pursuant to the provisions of 20 CSR 2150-9.080 and section 334.104.1, RSMo.

(12) The board may require the applicant to make a personal appearance before the board and/or advisory commission prior to rendering a final decision regarding licensure.

(13) An applicant may withdraw an application for licensure anytime prior to the board's vote on the applicant's candidacy for licensure.