Update on New Forms and Fees


Board Code:
PF
License Application Fees by Type Class
Effective Date of Fees - 5/1/2009

Type

Fee Effective May 1, 2009

Perfusionist Application and License

$225

Provisional Perfusionist Application and Provisional License

$225


Board Code:
PF
License Renewal Fees by Type Class
Effective Date of Fees - 5/1/2009



Type

Renewal
Fee

Renewal Time

Renewal
Frequency

Perfusionist

$150

Sept. 1/ Odd Year

Biennial
(2 year)


The following fees apply to all Boards of Registration:

Category

Fee

Comments

Late Renewal Fee$57per license renewal (Fee is in addition to renewal fee if renewal is received beyond license expiration date).
Certified Statement of Registration$15per licensee
Duplicate License$17per license
Name Change$27per license
Wall Certificate$27per certificate
Duplicate Wall Certificate of Registration$27per certificate
Handling Charge for Returned Checks$23per check
Public Information CD-ROM$30per item in the form


This information is provided by the Division of Health Professions Licensure within the Department of Public Health.

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