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PA Corporation or Limited Liability Company
If you receive an application or associated forms from a source other than directly from this office or its official web site, the documents may be outdated or not official versions. Application forms will be rejected if not on the current version.
Please note that an initial certificate of registration will vary in duration dependent upon its issuance date. This initial certificate of registration will expire on January 1. It is the responsibility of all certificate of registration holders to renew their certificate of registration before January 1. Failure to renew by January 1 shall result in automatic suspension of the certificate of registration by statute. Certificates of registration which have suspended are not automatically entitled to renew.Se
Renewal Process — Please see the renewal schedule on the home page to determine if the renewal is available. Renewal applications will be open and available 90 days prior to the expiration date.
You must be current and in good standing with the Secretary of State Office = click to check your status there before you attempt to renew with the Board of Medical and Osteopathic Examiners:
Reinstatement Process— send written explanation of why you allowed your certificate of registration to be suspended with your original signature to the Board office. Once your statement is evaluated, you will receive written instructions as to whether your previous certificate of registration can be reinstated. At that time, you will also receive written instructions as to what is required to reinstate and renew your certificate of registration.
Physician Assistant Corporation or Limited Liability Company Certificate
Documentation CANNOT be faxed or emailed.
- Contact Secretary of State and obtain Certificate
- Submit to Board office:
- copy of Certificate - obtained from Secretary of State
- Articles of Incorporation or Organization and Bylaws
- Completed Application Form (use ADOBE)
- $50 fee