64B23-2.001. Documentation for Licensure

Effective on Wednesday, April 05, 2017
  • 1(1) Applicants for licensure shall submit Form DH 1274 (7/16), Application for Licensure as a Medical Physicist, incorporated by reference and available 23at 24http://www.flrules.org/Gateway/reference.asp?No=Ref-08047; 25and o27fficial documentation of board certification and licensure verification sent directly from the agency that issued the license must also be submitted.

    48(2) Applicants applying for a temporary license shall submit Form DH5020-MQA (9/16), Application for Medical Physicist Temporary License, incorporated by reference and available at 72http://www.flrules.org/Gateway/reference.asp?No73=74Ref-0804875. 76Applicants must designate a supervisor who is a medical physicist licensed in the same specialty as the applicant’s completed residency and must have satisfactorily completed a two-year, accredited residency program. Official documentation of the completed residency program sent directly from the program must also be submitted. A temporary license shall be effective for one year from the date of issuance and may be renewed once for an additional year.

    145Rulemaking Authority 147456.004, 148456.013, 149483.901(6)(a) FS. 151Law Implemented 153456.013, 154456.0635, 155456.065(3), 156483.901(4)(b), 157(k), (7) FS. History–New 6-10-99, Amended 8-21-02, 5-10-09, 12-28-09, 4-7-13, 4-13-16, 4-5-17.