North Carolina Administrative Code
Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS
Chapter 52 - PODIATRY EXAMINERS
Section .0500 - CERTIFICATION OF PODIATRIC ASSISTANTS
Section 52 .0611 - FORMS AND APPLICATIONS

Universal Citation: 21 NC Admin Code 52 .0611

Current through Register Vol. 38, No. 18, March 15, 2024

(a) The Board shall issue the following items in accordance with applicable state statutes and this Chapter's administrative rules:

(1) Certificate of Licensure;

(2) Licensure Renewal Card;

(3) Temporary License Certificate; and

(4) Certificate of Corporate Registration.

(b) The Board shall provide and require use of the followingapplication forms that may be obtained from the Board's web site, http://www.ncbpe.org:

(1) Licensure Renewal Application;

(2) Disclaimer Form;

(3) Corporate Registration Application;

(4) Corporate Registration Renewal;

(5) Specialty Credentialing Application;

(6) CME (Continuing Medical Education) Submission Form;

(7) Recommendation Form; and

(8) License Application (Regular, Temporary, Military, Reciprocity).

Authority G.S. 55B-10; 55B-11; 90-202.4(g); 90-202.6; 90-202.7; 90-202.9; 90-20.10; 90-202.11;
Eff. June 1, 2011;
Amended Eff. November 1, 2015; October 1, 2014.

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