PURPOSE: This rule provides information to those applicants desiring licensure by reciprocity.

1. (1) The applicant shall furnish a postgraduate reference letter from each institution where s/he is a house officer, meaning either intern or resident.
2. (2) The applicant shall furnish a certificate of graduation from an accredited high school. Satisfactory evidence of completion of preprofessional education consisting of a minimum of sixty (60) semester hours of college credit in acceptable subjects from a reputable college or university approved by the board.
3. (3) The applicant shall furnish satisfactory evidence of having attended throughout at least four (4) terms of thirty-two (32) weeks of actual instructions in each term of a professional college recognized as reputable by the board and of having received a diploma from a professional college recognized as reputable by the board.
4. (4) Applicants for licensing by reciprocity who have been examined successfully by any professional board considered competent by the Missouri State Board of Registration for the Healing Arts, and having received grades not less than those required by the board, and holding certificates as physicians and surgeons in any state or territory of the United States or the District of Columbia and, in addition, presenting to the board satisfactory certificates that they in every way fulfilled all the scholastic and other requirements of the Missouri State Board of Registration for the Healing Arts, at the discretion of the board, and upon showing to the State Board of Registration for the Healing Arts may receive from the board a license to practice as a physician and surgeon in Missouri without further examination. Applicants may be required to appear before the board in person.
5. (5) The applicant is required to make application (see 4 CSR 150-2.040) upon a form prepared by the board.
6. (6) No application will be considered unless fully and completely made out on the specified form properly attested.
7. (7) An applicant for reciprocity shall present, attached to the application, a recent photograph, not larger than three and one-half inches by five inches (3 1/2" × 5").
8. (8) Applications shall be sent to the executive director of the State Board of Registration for the Healing Arts, P.O. Box 4, Jefferson City, MO 65102.
9. (9) The fee for reciprocity shall be an appropriate fee to be established by the board. The fee shall be sent in the form of a bank draft or post office money order or express money order. Personal checks will not be accepted.
10. (10) The applicant shall furnish, on a form prescribed by the board, verification of licensure from every state, territory or international country in which the applicant has ever been licensed to practice the healing arts.
11. (11) The professional diploma and verification of licensure shall be sent to the executive director of the State Board of Registration for the Healing Arts for verification. Photocopies of the documents may be accepted at the discretion of the board.
12. (12) When an applicant has filed his/her application and an appropriate fee, to be established by the board, for licensure by reciprocity and the application is denied by the board or subsequently withdrawn by the applicant, an appropriate fee established by the board will be retained by the State Board of Registration for the Healing Arts as a service charge.
13. (13) An applicant who cumulatively three (3) times or more has failed a licensing examination administered in one (1) or more states or territories of the United States or the District of Columbia will not be licensed by reciprocity in this state by the board.

AUTHORITY: section 334.125, RSMo 2000.* This rule originally filed as 4 CSR 150-2.030. This version of rule filed Dec. 19, 1975, effective Dec. 29, 1975. Amended: Filed Jan. 13, 1982, effective April 11, 1982. Amended: Filed Dec. 23, 1988, effective May 1, 1989. Amended: Filed April 15, 1996, effective Nov. 30, 1996. Amended: Filed April 30, 2002, effective Nov. 30, 2002. Moved to 20 CSR 2150-2.030, effective Aug. 28, 2006. *Original authority: 334.125, RSMo 1959, amended 1993, 1995. State Board of Registration for the Healing Arts of Missouri v. De Vore, 517 SW2d 480 (Mo. App. 1975). Administrative Hearing Commission Act section 161.252, RSMo (1969) repealed the former authority of the board to conduct evidentiary hearings on the qualifications of applicants for licensure. State Board of Registration for the Healing Arts of Missouri v. Masters, 512 SW2d 150 (Mo. App. 1974). Board may not issue annual certificate of registration to person who is not licensed to practice medicine in this state. Op. Atty. Gen. No. 257, Goode (6-1-70). Pathology is a branch of the practice of medicine within the provisions of Chapter 334, RSMo (1969) and a profession under the jurisdiction of the State Board of Registration for the Healing Arts, and that an individual must be licensed by the board before s/he can lawfully practice pathology. The prosecuting and circuit attorneys have the responsibility for criminal prosecutions arising out of violations of Chapter 334. Op. Atty. Gen. No. 82, Hardwicke (3-1-65). Physicians who accept professional staff appointments in Missouri hospitals and regularly practice medicine and surgery in those hospitals are maintaining an “appointed place to meet patients or receive calls within the limits of this state.” These physicians are required to have a Missouri license. Op. Atty. Gen. No. 36, Hailey (3-29-55). A physician who is not licensed in the state of Missouri may not engage in activities constituting the practice of medicine within the state, regardless of who his/her employer may be or under whose supervision s/he may do so.