Update on New Forms and Fees

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


Fee Effective May 1, 2009

Physician Assistant - Initial Application and License Fee


Temporary Practice Certificate


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

License Type

Renewal Fee

Renewal Time

Renewal Frequency

Physician Assistant


1-Mar/ Odd Year

Biennial (2 year)

The following fees apply to all Boards of Registration:




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.