650—11.2 (147,153) Dental licensure by examination.
	 11.2(1) Applications for licensure to practice dentistry in this state shall be made on the form provided by the board and must be completely answered, including required credentials and documents.
	 11.2(2) Applications for licensure must be filed with the board along with:
	  a.   	 Satisfactory evidence of graduation with a DDS or DMD from an accredited dental college approved by the board or satisfactory evidence of meeting the requirements specified in rule 11.4(153).
	  b.   	 Certification by the dean or other authorized representative of the dental school that the applicant has been a student in good standing while attending that dental school.
	  c.   	 If the applicant is a dentist licensed by another jurisdiction, the applicant shall furnish certification from the board of dental examiners of that jurisdiction that the applicant is a licensed dentist in good standing.
	  d.   	 Evidence of successful completion of Part I and Part II of the examination, with resulting scores, administered by the Joint Commission on National Dental Examinations. At the discretion of the board, any dentist who has lawfully practiced dentistry in another state or territory for five years may be exempted from presenting this evidence.
	  e.   	 Evidence of successful completion of the examination taken in the last five years, with resulting scores, administered by the American Board of Dental Examiners, Inc., the Central Regional Dental Testing Service, Inc., or the Western Regional Examining Board, Inc.	(WREB).
	  f.   	 A statement disclosing and explaining any disciplinary actions, investigations, complaints, malpractice claims, judgments, settlements, or criminal charges.
	  g.   	 The nonrefundable application fee, plus the fee for the evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI), as specified in 650—Chapter 15.
	  h.   	 Evidence of successful completion of the jurisprudence examination administered by the board of dental examiners.
	  i.   	 Evidence that the applicant possesses a valid certificate in a nationally recognized course in cardiopulmonary resuscitation.
	  j.   	 A photograph of the applicant suitable for positive identification.
	  k.   	 A completed fingerprint packet to facilitate a criminal history background check by the DCI and FBI.
	 11.2(3) The board may require a personal appearance or any additional information relating to the character, education and experience of the applicant.
	 11.2(4) Applications must be signed and notarized as to the truth of the statements contained therein.
This rule is intended to implement Iowa Code sections 147.3, 147.29, and 147.34.