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RULE §107.66 Application for Modification of Board Order

Published: 2015

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(a) A licensee or registrant in current status seeking
modification of a prior Board Order may submit a written application
for modification of the Board Order. The application shall be submitted
to the General Counsel of the Board and shall include at least the
  (1) specific sanction of which modification is requested;

  (2) evidence of compliance with past and current Board
  (3) summary of reasons for request;
  (4) benefit to the public if granted; and
  (5) exhibits or testimonials, including but not limited
to any continuing education or other rehabilitative activities.