Update on New Forms and Fees


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



Type

Fee Effective May 1, 2009

Physician Assistant - Initial Application and License Fee

$225

Temporary Practice Certificate

$150


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

License Type

Renewal Fee

Renewal Time

Renewal Frequency

Physician Assistant

$150

1-Mar/ 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.