20 CSR 2150-2.210
Assistant Physician License Renewal
PURPOSE: This rule provides information to assistant physicians
in Missouri regarding renewal of licensure.
(1) Renewal of an Unexpired License.
(A) The board shall mail an application for renewal to each
person licensed in this state as an assistant physician at the last
known address. The failure to mail the application or failure
to receive it does not relieve any licensee of the duty to renew
and to pay the fee required nor provide exemption from the
penalties provided for failure to renew.
(B) An applicant for a license renewal shall submit a com
pleted application form approved by the board. The applica
tion form shall include at least the following:
1. Name of the applicant;
2. Current address, telephone number, and email address;
3. If this is the applicant’s first renewal, and if not provided
at the time of original licensure, the applicant shall provide his
or her Social Security number;
4.Answers to questions regarding the applicant’s moral
character, professional background, and fitness to practice;
5. The name of the assistant physician’s collaborating phy
sician;
6. Attestation that the licensee has obtained continuing
education in accordance with 20 CSR 2150-2.230;
7. Attestation that the licensee has been engaged in prac
tice under collaborative practice arrangement in accordance
with section 334.036.6, RSMo, during the last year; and
8. A signed and notarized statement attesting that the ap
plication is true, that the applicant has a duty to supplement
the information if it changes before a renewal is granted, and
that the applicant understands that he or she cannot practice
after the date of expiration unless and until the license is re
newed.
(C) A license shall be renewed on or before the expiration of
a license by submitting—
1. Completed renewal application;
2. The fee as established in 20 CSR 2150-2.080; and
3. Evidence of name and address change if applicable. If
it is a name change, evidence may include a copy of marriage
certificate, divorce decree, adoption order, other court order, or
naturalization certificate. Address change includes home and
AND INSURANCE
all business addresses.
(D) Renewal application forms postmarked February 1 or
after will be considered delinquent, however, should January
31 fall on a Saturday, Sunday, or legal holiday, renewal forms
postmarked on the next business day will not be considered
delinquent.
(2) Renewal of a License Expired for Less Than Six (6) Months.
(A) If the licensee fails to renew their license by January 31 of
each year, the license shall be considered expired.
(B) A licensee may renew a license which has been expired
for less than six (6) months by submitting a late renewal appli
cation form approved by the board. The late renewal applica
tion form shall include at least the following:
1. Name of the applicant;
2. Current address, telephone number, and email address;
3. If this is the applicant’s first renewal, and if not provided
at the time of original licensure, the applicant shall provide
their Social Security number;
4. Answers to questions regarding the applicant’s moral
character, professional background, and fitness to practice;
5. The name of the assistant physician’s collaborating phy
sician;
6. Attestation that the licensee has obtained continuing
education in accordance with 20 CSR 2150-2.230; and
7. A signed and notarized statement attesting that the ap
plication is true, that the applicant has a duty to supplement
the information if it changes before a renewal is granted, and
that the applicant understands that he or she cannot practice
unless and until a renewal is granted.
(C) A license which has been expired for less than six (6)
months may be renewed by submitting—
1. Completed late renewal application;
2. The renewal fee and late renewal fee as established in 20
CSR 2150-2.080;
3. Satisfactory evidence of compliance with the continuing
professional education requirements as required by the board
pursuant to 20 CSR 2150-2.230;
4. A statement of activities from the license expiration date
to the present; and
5. Evidence of name and address change if applicable. If
it is a name change, evidence may include a copy of marriage
certificate, divorce decree, adoption order, other court order, or
naturalization certificate. Address change includes home and
all business addresses.
(3) Renewal of an Expired License for More than Six (6) Months.
(A) A license that has been expired for more than six (6)
months shall not be renewed. Individuals who have an expired
license who wish to obtain a new license will be required
to meet the licensure requirements as provided in section
334.036, RSMo, 20 CSR 2150-2.200, and any other applicable
statute or rule.
(4) Any application for a renewal or late renewal of an assistant
physician license may be denied by the board for one (1) of the
following causes singularly or in combination:
(A) Failure to meet any requirement of Chapter 334, RSMo, or
20 CSR 2150-2.200 through 20 CSR 2150-2.270;
(B) Failure to demonstrate good moral character; or
(C) Any cause listed in section 334.100, RSMo.
(5) If the board denies an assistant physician application for
renewal or late renewal, the applicant may appeal to the
Administrative Hearing Commission as set forth in section
334.100, RSMo, and Chapters 536 and 621, RSMo.
(6) The licensee may withdraw the renewal application prior to
the board’s determination.
(7) All fees submitted to the board are non-refundable and will
be retained by the board.
(8) Any person practicing as an assistant physician without a
current license shall be subject to discipline under section
334.100, RSMo, or subject to the injunction procedures of
section 334.230, RSMo.
AUTHORITY: sections 334.036 and 334.125, RSMo Supp. 2014.*
Original rule filed June 29, 2016, effective Jan. 30, 2017.
*Original authority: 334.036, RSMo 2014 and 334.125, RSMo 1959, amended 1993,
1995, 2014.