Section 1350.40  Application for Licensure

a)         An applicant for licensure as a physician assistant shall file an application on forms provided by the Department.  The application shall include:

1)         Certification of graduation from an approved program that meets the requirements set forth in Section 1350.30 of this Part or certification from the National Commission on Certification of Physician Assistants, or its successor agency, that the applicant has substantially equivalent training and experience;

2)         Certification of successful completion of the Physician Assistant National Certifying Examination.  The certification shall be forwarded to the Department from the National Commission on Certification of Physician Assistants, or its successor agency;

3)         A complete work history since graduation from a physician assistant program;

4)         Certification, on forms provided by the Department, from all states in which an applicant was licensed and  is currently licensed, if applicable, stating:

A)        The time during which the applicant was licensed in that state, including the date of the original issuance of the license;

B)        Whether the file on the applicant contains any record of disciplinary actions taken or pending;

5)         The fee required in Section 1350.25 of this Part.

b)         A physician assistant license will be issued when the applicant meets the requirements set forth above.  However, a physician assistant may not practice until a notice of employment has been filed in accordance with Section 1350.100 of this Part.

c)         The supervising physician shall submit a notice of prescriptive authority indicating the physician assistant has been delegated prescriptive authority. If the physician assistant is supervised by more than one physician, a separate notice of prescriptive authority shall be submitted by each supervising physician.  In addition, if prescriptive authority includes Schedule III, IV and/or V controlled substances, the physician assistant will be required to apply for a mid-level practitioner license in accordance with the Illinois Controlled Substances Act.

(Source:  Amended at 24 Ill. Reg. 16680, effective October 27, 2000)