.12 Fees.

The fees are as follows:

A. Application fees.

(1) Original physician or osteopath licensure application, American and foreign school graduate ... $310;

(2) Conceded eminence application … $1,090;

(3) Physician license fee per month until expiration of initial license ... $20;

(4) Physician inactive license …$218;

(5) Postgraduate teaching license ... $300;

(6) Physician emeritus license … $120;

B. Renewal fees:

(1) Physician biennial license renewal ... $486;

(2) Inactive biennial renewal fee … $218;

(3) Physician emeritus renewal fee … $120;

C. Physician reinstatement fee … $700;

D. Other fees:

(1) Replacement of license for a name change ... $25;

(2) Permit to dispense prescription drugs ... $1,050;

(3) Written verification of licensure ... $50;

(4) Electronic records ... $45 plus $0.05 per record.