12 AAC 48.020. License by credentials

(a) The board will issue a license by credentials to practice optometry to an applicant who meets the requirements of AS 08.72.170 and this section.

(b) An applicant for a license under this section must submit

(1) a complete and notarized application on a form provided by the department;

(2) the applicable fees required by 12 AAC 02.300;

(3) an affidavit certifying at least 3,120 hours of active licensed clinical practice experience in optometry within the three years immediately preceding the date of application, signed by a licensed health care professional who is familiar with the applicant's practice; the board may require further documentation verifying the 3,120 hours of active licensed clinical practice;

(4) the completed Alaska State Optometry Law examination required in 12 AAC 48.015(3) .

(c) In addition to the requirements of (b) of this section, an applicant for a license under this section shall arrange for and ensure the submission of the following:

(1) college transcripts verifying graduation from a recognized school or college of optometry, sent directly to the department from the institution;

(2) verification from all licensing jurisdictions in which the applicant holds or has ever held a license to practice optometry showing that the applicant's license has not been the subject of any disciplinary action and that there are no pending or unresolved actions against the applicant, sent directly to the department from the licensing jurisdiction;

(3) verification that the applicant received a license to practice optometry from another state or territory of the United States or from a province of Canada that required the applicant to successfully complete an examination in optometry, sent directly to the department from the licensing jurisdiction;

(4) verification from a licensing jurisdiction in another state or a territory of the United States or in a province of Canada, showing that the applicant holds a current active license to practice optometry, sent directly to the department from the licensing jurisdiction.

History: Eff. 9/17/2003, Register 167

Authority: AS 08.72.050

AS 08.72.170

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