DPH: Reinstatement of a Podiatry License that has Lapsed due to Nonrenewal

Reinstatement of a Podiatry License that has Lapsed due to Nonrenewal

 

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for reinstatement of a Connecticut license that has lapsed due to nonrenewal shall arrange for the submission of the following documentation directly from the source:

 

A completed, notarized application with photo and fee in the amount of $565.00 in the form of a bank check or money order payable to, “Treasurer, State of Connecticut”;

 

The applicant’s current curriculum vitae (CV) including a synopsis of professional activity since completion of Podiatry education;

 

Verification of any out-of-state licenses held, current or expired, submitted directly to this office from the source.  Please contact the jurisdiction prior to making a request as some jurisdictions charge a fee for completion of the form;

 

Federation of Podiatric Medical Boards (FPMB) disciplinary inquiry;

 

Verification from the appropriate authority confirming the applicant's most recent employment including dates and overall evaluation of the applicant's ability to practice podiatry with reasonable skill and safety. 

 

If the applicant is in private practice, a letter from another podiatrist with whom the applicant has referred patients indicating the dates of the referral relationship and an evaluation of the applicant's ability to practice podiatry with reasonable skill and safety.

 

Applicants for reinstatement who have been out of the active practice of podiatry for longer than 6 months are presented to the Connecticut Board of Examiners in Podiatry.  The Department seeks the Board's recommendation as to the applicant's suitability for reinstatement.  The Board could recommend additional requirements that must be met prior to reinstatement including, but not limited to, a period of supervised practice, successful completion of the national boards or continuing education.  The Board meets quarterly.  Applicants will receive further information from the Department upon receipt of all required documentation.

 

All supporting documents should be mailed directly from the source to:

 

Connecticut Department of Public Health

 Podiatrist Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone:  (860) 509-7603

Fax:  (860) 707-1931

Email:  dph.healingarts@ct.gov

 





Content Last Modified on 1/24/2013 10:20:27 AM