ࡱ> 463y bjbj 4{{::$S$U$U$U$U$U$U$\&)^U$U$j$MMMS$MS$MM! {#"?$$0$"l)vl) {#{#l)#MU$U$M$l): Z: PHYSICIAN ASSISTANT EXPEDITED LICENSURE ELIGIBILITY REQUIREMENTS You are eligible for an expedited PA application if you meet the following four qualifications: Please check each box that applies to you. Currently certified by NCCPA; Currently holds a full unrestricted active license in at least one other state, the District of Columbia, U.S. Territory or Canadian province for the previous five years immediately preceding the application; Have been active in clinical practice providing patient care for an average of 20 hours or more per week for at least the last two years; Have a clean license application, as defined below. A clean license application means the following: no professional liability claim(s) or payment(s); (Having never been named in a malpractice lawsuit or had a malpractice lawsuit filed again you-regardless of whether the judgment award, payment or settlement was made in your name or a malpractice settlement or payment was made, affecting or involving you, where no lawsuit was file). no criminal record; (This means that you have never been (1) charged with, (2) arrested for, or (3) convicted of a misdemeanor or felony including, but not limited to, Driving Under the Influence (DUI) or Driving While Impaired (DWI) and any other violation of the law involving the operation of some mean of transportation while under the influence of drugs or alcohol? This does not include minor traffic offenses such as speeding tickets, but does include being charged with or being arrested for any alcohol related crime); no medical condition(s) which could affect the physician assistants ability to practice safely; no regulatory board complaint(s), investigation(s), or action(s) (including applicants withdrawal of a license application); no adverse action taken by a health care institution; no investigation(s) or action(s) taken by a federal agency, the U.S. military, medical societies or associations; no suspension or expulsion from any school, including an educational program for physician assistants. 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