MAC Pt. 2601, R. 2.1
| Effect of Application
Cite as Miss. Admin. Code Pt. 2601, R. 2.1
| Effect of Application
The submission of an application for licensing to the Board shall constitute and operate as an
authorization by the applicant to each educational institution at which the applicant has
matriculated; each state or federal agency to which the applicant has applied for any license,
permit, certificate or registration; each person, firm, corporation, clinic, office or institution by
whom or with whom the applicant has been employed in the practice of medicine; each physician
or other health care practitioner whom the applicant has consulted or seen for diagnosis or
treatment and each professional organization or specialty board to which the applicant has applied
for membership, to disclose and release to the Board any and all information and documentation
concerning the applicant which the Board deems material to consideration of the application. With
respect to any such information or documentation, the submission of an application for licensing
to the Board shall equally constitute and operate as a consent by the applicant to disclosure and
release of such information and documentation and as a waiver by the applicant of any privilege
or right of confidentiality which the applicant would otherwise possess with respect thereto.
By submission of an application for licensing to the Board, an applicant shall be deemed to have
given his or her consent to submit to physical or mental examinations if, when and in the manner
so directed by the Board and to waive all objections as to the admissibility or disclosure of findings,
reports or recommendations pertaining thereto on the grounds of privileges provided by law. The
expense of any such examination shall be borne by the applicant.
The submission of an application for licensing to the Board shall constitute and operate as an
authorization and consent by the applicant to the Board to disclose and release any information or
documentation set forth in or submitted with the applicant's application or obtained by the Board
from other persons, firms, corporations, associations or governmental entities pursuant to Part
2601, Chapter 2, Rule 2.1 paragraphs 1 and 2, to any person, firm, corporation, association or
governmental entity having a lawful, legitimate and reasonable need therefore, including, without
limitation, the medical licensing authority of any state; The FSMB; the AMA and any component
state and county or parish medical society, including the Mississippi State Medical Association
and component societies thereof; the AOA and any component state and county or parish
osteopathic medical society, including the Mississippi Osteopathic Medical Association and
component societies thereof; the U.S. Drug Enforcement Administration; the Mississippi State
Bureau of Narcotics; federal, state, county or municipal health and law enforcement agencies and
the Armed Services. It is the intent and purpose of this rule to authorize release of only that
licensure information not prohibited from release under Section 73-52-1, Mississippi Code.
Upon submission of an application for licensure to the Board, the applicant shall promptly provide
all information deemed necessary by the Board to process the application, including, but not
limited to certification of graduation from medical school, photograph of applicant, internship
certification and birth certificate. The Board shall have a reasonable period of time within which
to collect and assimilate all required documents and information necessary to issue a medical
license. If, after submitting an application for medical license, an applicant has failed to respond
or make a good faith effort to pursue licensure for a period of three (3) months, the application
will be considered null and void, and applicant will have to reapply for licensure, including, but
not limited to, all fees, application, and certifications. Additionally, if after one year from the date
of receipt of application, applicant has not received a medical license, the application will be
considered null and void, and applicant will have to reapply for licensure, including, but not limited
to, all fees, application, and certifications.