Other Physician Assistant License Applications

The following applications must mailed to the Board office, the application and applicable fees cannot be submitted or paid online. Please call or e-mail the Board to request the appropriate application be sent to you by mail or e-mail.

Reinstatement

A reinstatement application is to be submitted when a former licensee seeks to have a license that has been revoked or surrendered restored to active status.  In addition to submitting the reinstatement application, the former licensee must submit a petition seeking reinstatement



Emeritus License

An emeritus license may issued to a physician assistant under the supervision of a physician holding and active medical license in Wyoming, which may be used for the provision of uncompensated physician assistant services. 



Volunteer (Camp) License

A volunteer (camp) license may be issued to a physician who is in good standing in at least one jurisdiction other than the state of Wyoming for the purpose of providing medical treatment as a volunteer, without compensation. A volunteer (camp) license shall be valid for not more than twenty-one consecutive days in any calendar year, and may not be renewed.


NOTICE

Please review the Board's Rules and Regulations to view the requirements of each individual license BEFORE you apply.