NAC630A.050. Application for license.

     1. An applicant for a license to practice homeopathic medicine must submit to the Board a completed and notarized application on a form furnished by the Board. The form may be obtained from the Office of the Board or from the Internet website of the Board. The application must include or indicate the following:

     (a) A certificate, on a form furnished by the Board, proving that the applicant holds a valid and unrestricted license to practice allopathic, homeopathic or osteopathic medicine properly issued by the District of Columbia, any state or territory of the United States or a foreign country whose standards for licensing are approved by the Educational Commission for Foreign Medical Graduates. The form for the certificate may be obtained from the Office of the Board or from the Internet website of the Board.

     (b) A certificate proving that the applicant completed the required period of postgraduate training.

     (c) The applicant’s place and date of birth, social security number as required pursuant to NRS 630A.246, registration number issued by the Drug Enforcement Administration, and the address and telephone number of his or her home and office.

     (d) A chronological history of the years and places of the applicant’s allopathic, homeopathic and osteopathic medical practice and postgraduate training.

     (e) A list of allopathic, homeopathic and osteopathic medical societies and specialty boards, if any, of which the applicant is a member.

     (f) The names and addresses of all hospitals of which the applicant is or has been a member of the staff during the past 10 years.

     (g) Whether the applicant has ever been charged with or convicted of a felony or an offense involving moral turpitude.

     (h) Whether the applicant has ever been addicted to the use of narcotics, controlled substances or alcohol.

     (i) Whether the applicant has even been charged with, convicted of or investigated for illegally using, dispensing or selling controlled substances.

     (j) Whether the applicant has ever been refused or denied a license or certificate by examination or reciprocity.

     (k) Whether the applicant has ever had his or her allopathic, homeopathic or osteopathic medical license or certificate suspended or revoked or has been placed on probation or has ever surrendered his or her license or certificate because of a disciplinary action or a pending disciplinary action.

     (l) A photograph of the applicant taken within 60 days before the date of the application.

     (m) A complete set of fingerprints on a form furnished by the Board, along with the written consent of the applicant for the Board to forward the fingerprints to a law enforcement agency for a report on the criminal history of the applicant.

     (n) Letters of recommendation from three physicians who are currently in practice, at least two of whom are actively engaged in the practice of homeopathic medicine in this State and each of whom is personally acquainted with the applicant.

     2. The applicant must submit, with the application, the application fee required pursuant to NRS 630A.330. The application fee is nonrefundable.

     3. If the application is rejected, it will be retained by the Board pursuant to subsection 4 of NRS 630A.290 and the Board will notify the applicant of the reasons for the rejection.

     (Added to NAC by Bd. of Homeopathic Medical Exam’rs, eff. 8-29-85; A by R105-03, 9-24-2003; R217-08, 12-17-2008)