Applicants with Disciplinary History

If you have ever been denied a license, had disciplinary action taken against a license, or have had other action taken against you by a licensing agency, you will need to submit the following for each denial and action:

  • Written self-explanation describing in detail the circumstances surrounding the circumstances of the action.
  • Agency records of that action, including all administrative complaints and final orders.

If you are currently under investigation or prosecution in any jurisdiction for an act that would constitute a violation under section 456.072, Florida Statutes or section 458.331, Florida Statutes, please submit the following:

  • Written self-explanation describing in detail the circumstances surrounding the investigation or prosecution.
  • A letter from the state board/entity explaining the results of the investigation or prosecution.

Failure to disclose disciplinary history on your application may result in the denial of your application for licensure.

All actions are reviewed by the Chair of the Council on Physician Assistants to determine whether a personal appearance is required at a council meeting. If you are required to appear, you will be notified in writing by Board staff within 30 days of the scheduled meeting.

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Applicants with Disciplinary History

If you have ever been denied a license, had disciplinary action taken against a license, or have had other action taken against you by a licensing agency, you will need to submit the following for each denial and action:

  • Written self-explanation describing in detail the circumstances surrounding the circumstances of the action.
  • Agency records of that action, including all administrative complaints and final orders.

If you are currently under investigation or prosecution in any jurisdiction for an act that would constitute a violation under section 456.072, Florida Statutes or section 458.331, Florida Statutes, please submit the following:

  • Written self-explanation describing in detail the circumstances surrounding the investigation or prosecution.
  • A letter from the state board/entity explaining the results of the investigation or prosecution.

Failure to disclose disciplinary history on your application may result in the denial of your application for licensure.

All actions are reviewed by the Chair of the Council on Physician Assistants to determine whether a personal appearance is required at a council meeting. If you are required to appear, you will be notified in writing by Board staff within 30 days of the scheduled meeting.