## 675

OFFICE OF THE ATTORNEY GENERAL OF TEXAS
**AUBTIN**

**xmlrett** w. Wlsoa, D.O. Term **3t8te Boclrd**  of Mediaal $;rmdnerr lll(rlll5 t&dlcat Arta BUildi!a@ 3e5 Ant6nl0, Tsxer ,," / ,/'j
Deer §ir:E;vWQtt iv.W 18011, I?.o., FagQ 2

a board of mdloal exQminer8 for ecoh of the **aSQYQr81,** separate Qohoola of mediofne, wkioh board8 Qxamino In the Qume fundamental eubjeots and w!iloh@ant **liOQO888 ior**  auoh **rQQpQOtiV8** aobo4le of medicine all of whioh lloenaas ellarr ldeatloal prlrllegea aa to aoope of praotioe. Thla differ8 iram the ***oompaaite*** typa **of** board,

**aa** In TexnQ, where the Bonrd ia aompoaed **of prootitionare**  **of all**  **of** the reoOgnleQd i30h0418 of medlolne and whioh grants lioensea, idQntioal la 611 respote, to preotitlonera in all 4r the reoognized Qotoola of praotloe.

Would it not be ln tlolatlon OS Art.1418 Slxtc-on(la),Seotion thirty **one** (31) of tha TfxM **Conatftutlon,** provldlngr

-'The LQgiQlRtUrQ may pa68 18~8 prQ**aarlblag** the uualiflaationaor praotioe **of aedioine**  fn this State, and to punlah peraotm formal-praotioe, but no preferlnoe shall e)oQr

be given by law to any aohoola a?medlolne.',

and in rlolatian of ArtiolQ 4SO4, R.C.S.,(lWb),
es amended 1939 in llouae Bill #l+E1

wbioh opens with thld declaratloat ?gNothing in this **Chapter** shall **be** 80 oonatrued ns to dlaorlminate **against** any pnrtloular aohool or system of medloal practice, * * * ’

for theTcxna Bwrd of YQdloal Exaslnorrto grant a lfoensoby reolprooity to a lloanaer of
one **of** Quuoh

board8 of auoh f0rQign at&to Qnd to deny to a lfoonaee of another **of** auoh board8 of **thet SBPPQ**  **stste a**  **lioQ8180 by**  **reOipr4Ui0y.Q**

**(3).** 'An applicant for l 1loaneQ to pvaotie0me6141n8 in Taxa preaenta a liQanQ* grantad by another Stat? wbioh reeds *ToPrscrtioa Oateapethyf, wbioh applfoant haa 80owea auoh lioenne **by** Qxaminetlon in fluMemental QubjeotQ,

**as** rewired **by** Teram **law tar**  admlsaiQn by **ex-**Evwett W. *Ilaon, D.O., kege 3

**amination** in Texae, and wliloh a;plIoant 821joy**ed** in the fCrQign state, the 8anze UnliuiItad prfrilsge8 **and** eoope of praotioe as are 

### l cjoyed by praotlticcerrr in Teras.
*Should txt the Tcxaa Board of Medlocl Fixminers **f4llow** the opinion of the Attorney Oeneral of Tax.85 **numbered** O-1896, farrued**3sptQn her**  8th. 1939, end to **grant, by**  reolproolty, auah eppllaant 8 lioeme to praotioe medicine In Texas.*

Artlole 4501, a8 mended, Vernonfa Annotated Civil Statutea, providee:

*All eppllceata tar lloenoo to praotioo ned1ol.m in ttie State not otherwieolioanaad under tho pro~ielona of lawmu88 auoooe8tully pass 88 aaadcatioc by the Board ofYedloal Irim enhers. The Board i0 authorized to 8dopt and Snf4rOO ru.lQa Of prooedure not inOOMiSter& With the 8tatutory requiremsnts. Applioantr t4 be eliglblo **for** oxmlnatloc muat be oltl8ana of the Unite4 3tetea end muat preaont 88ti8t8OtOry evldonoo to the Bomd th8t they **aro** 8u?rothan 8wenty-one (i!l)

years of age, Of iood aorel 4hara8tor,Whohare oompleted sixty (601aemster h4ur8 o~~opoursea o nedimahdo dh oouraeiw% ,"i?oz able, et time & oompleting eama, to theUn'irersity ot Texas for oredlt on a Baohelor of Acta Degree OE a Baoholor of Soieaer Degree, end who
are graduate8 of bona iida reputablemadioal 

### l ohool8: e roputablamsdicel SOhOol shalla8Inlain a eourae of icetruotlonof not lea8 th8a four (4) term8 of eight (8)months aaoh# 8h811 give a oourae or icetruotioc In the rucdamental **subjeots** named in ArtLola 4808 of the Ravlsob Civil Statutes of Texae of lW!BI a8 muended by thle Act3 end shall have the neoorraarytaaohicg toroe, and p48eeaa and utillm leboratoriea, 

### l qul.pmant,

and ?aollIolea for proper lnatruotI4n LO,

811 of aaib gubjeota. ApplIoatlonator examinationmust **be** made **In** uriblng verified **by** afiidavlt, and filed with the Seoret8ry of 8he Board on forma proaorlbedby the Boar&, 

### l ooompan-Everett W. Wllrron, D-0. page 4

led by a fee of Twenty-fiveDollars ($85). **~11** spplloant8 **&ail** be **given** dim notioe or tb8 date and pleoo ot auah exsm:natlon. ?rovidad

**The requimAent**  or **sixty (SO)**  oompleted **s8m8ter** hour8 Or OO11OSemrk, other than in a aedioal sohaol, which oourse8 **wwad** be aoosptabla, at tb or aapletlng 8am8, to the University Of Texas for oredit on a Baahrlor 0r Art8 Degrea **or** a Baohblor of Salenae D8grae, **besam** a part or the above quoted statute In 19S9 by **hot of**  **th** Forty-elxthLagielatura,HOUE~ Bill No. 148, SeOt10n S.

Ths provl80 to the smuidod statut8 exsmpk etudent8 in medical sohoolr whose graduate8wen 8iig1bl8 for the StateMedioal Exsminatlon ptQor to th8 .tfeatlv8 date 0r the aamdsmlt. OpinionNo. O-11397 of thl8 departsmut to the Tex-8 State Bosrd of Medloal Exsmlner8. LJ88 **hntonio,** Texas, **by** Hon. Ardsll Wllllem8, Aosldsnt **Attor** ney thm8ral. IO is to be noted that thi8 **opinion i8**  **restriated to**  **t&s otatu8**  0r **studsnts enroLLs**  in mdloal 8OhOOl at the tims the statute1~18mended.

AS t0 th8 **ChtU8 Of**  **&MdUat88 t3f**  **tha 8sJD8**  **lnsdisal** sch0018who had received their dip10lML8 prior to th8 uloption of th8 8irty (60)0OZrIplet8 8eBlO8t.W

00110@1 hour8 **X ’** **8pUirO** ment, **we am**  **oomxmte&6** with a question **of 8tatutorr**  lnterpretatlon, and find it neoe8sary to apply the eetabli8hsd Oanons dr 8tatUtOl'y oon8tructlon to the law beiore u8.

**‘ fhs**  **43l ’** **OYiSO Or**  **Axtlele 4501,**  **BUPl ’** **s,** 18 not rrae 0r **smbiguitr and**  is 8U808ptible0r **two aonstruation8.** 

The wards "all 8tudent8regularly enrolled in medical WhoOl8* mightmean only thO8s etudents enrolled in ~dioal8ohoola at the tism of the amendmant OZ the law to lnoluds th8 sixty (60)seuumter hours of oollage
oourses requirement,

### or again it might IssarA all stua8nts 

### t&ohave been enrolled in suohmedioal whools whether prior to the anend?wnt

### or at the tim8 Of its enaotm8nt.**Evrrett iii.**  WIleon,D.O. page S

The phrase "whose **graduate8** are now permitted to tr:kethemedical examinationnow presorlbedby law In thI5 stvte- desarIbe8 and QUaiIfle8 'Lmedlaril. sohools.~ It la to be noted thst the prOYI80 doe8 not limit Itseii to studentswnoww enrolled In me41061 8ohools.

Under a liberal oonetruotlon the provicro will not be given the erfeot 0r excluding graduate8 0r the ~dlchl s~boolr,

deeorlbed from taking the examlnatlon beoeuse they have not had sixty (60)hour8 oi oollego work. If they have been regularly enrolled, and have con;letedthnlr **oourses,** and reonlved a diploma, they
are end should **be** entitled to the same privilege of taking the exm&mtion t8 the regtiariy enrolled student8 et the time of the anendmentwho have not oompleted their medical sohool oourse. From the language of theAot we cannotdlsoern an intention of the Le&Islature to di8- criminatebetween graduates and stUdeut0 Or medlosl 8Ohooh8 *whose grcduatos are now ::ermItted to take the medloal examiicatlon

non prescribed **by law** **”**

**. It**  **5ema to**  ua that both classes of student8 - those who have been enrolled but have gradueted and thO8e eurollsd at time Of amendment to statute - rall within the permissive soope or the law.

A cont:sry oonstruatlon tkreetens the oonstltutlonalityoi the law on the theory thet itwould oonter bpeclalprivilege8upon one **group** 0r **graduate8 and**  **amount** to an arbitrary and unfair dlacrImIn5tlon 8g8inst another group Or gradu&es WhIOh WE8 CUititled t0 take the era&latIon at the tins of graduation but tie were subsequently bcrred by a rslluro to be exempted from a ooUr5a requuire- ,%nt made 8ubsequent to their graduation.

Two cardinal rules 0r oo;str~atIon are oontrolllng **in thi6**  **situation.** First, the courts~I.11always endeavor to interpret a 5tatute so theta will be oonstItutlonat~:and valid, end ~I.11deallna to adopt a oonstruotion that wIL1 **destroy** or nuillry **It,** If **by** any reasonableoonstruotlon the enaotment **oan** be **sustainad.**
Gk:%XB f. ROEIRSOH, 8 S.W. (24) 6SS; a,oct&mY. cxzm?oN INDR~'RT?DR~ SCEGOL DI3T. 888 6.W. 1064; CAT!EY Y, XS.VEli, 242 S.W. 447.

## 680

ZXerett W. Wilson, 0.0. page 6

secondly, ~lmn the language 0r **a** 8trrtute 18 not 

### oleer, a04 the act I6 susceptibleor different 00nStrUotlon8, it will cot be construed so as to operatehar8hly, unJustly,or GIsorlmlnatorIly. That oon8truotlonwill **be** c?dopted

wkloh I8 bened On the a68UmptIon thtt the LegIslr.ture

intended to enaot a iair, just fmd reasonable 18W.

ORIZ!~TAL

ZOTZL CO. Y. ORIPFTJii& 33 S.W. 6SE; .JMXL KIqG Y. **VOM WAN&**  ii6 Tex. 469; STI<'L'Z v. DIPBSCENSXR, 9 Tcx. 4691 D;-AVIS Y. PAYNE, 199 S.W. 80.

Since Artlale 4601, mara, is susosptlbleof a rmsonable oonstn+otIonwhich ***ould** place grabuate8 en4
students or ffieeioal schools on an equal ba818,we rajeat
a construotlon :zhiohraise8 oon8tltutIonal **doubts.** It studentsenrollad Inmedloal schoolsat the time the Legislature 7laoedthe sixty (60) nmester oollege hour8 requirement In hrtlole 4601, tsupr8,

### are excepted from asetlngtho requirementby all the rule8 of log10 an4 prlr.oIplse

of equity, studentswho had graduate4prior to the amendment and were in every way qualitled to take era&nations at the tlnteor graduation shouldnot be adveraely ~rrectea end bsrrsd rr0m tsklug the examlnatlon bxt;ytdy did **not** have sixty (60) semester college

.

In answer to your rimt question, it 18 our oplnion that under hrtlale 4801, as asmndedVernon'sAnnotated CiYil 6tstUte8, an applicant for admiselon for the state msdloal ersmInetlon8 and ror a lloensewho had aoqulred hi8 ~eeloal s&o01 dIplors8 QUdiiYiUg hIm to take the stateradical examinationsprior to the amen&ent oi srtlCb 4801 in 1989 to i501llde the k%qUiZWientOf "8Ixty (60)

## 681

NVerett 'ii'.

K;:leon,

D.C., ~XS+JS

7

semesterhcurn of non-medltml ooilo~e oo~raes,~ le not aubjcot to this prorlsion ot the emendedarticle and has a right to take the exeminatfonnd&spite the feat that he does not heve ta hle oredit eixty (60) senmster hour5 of non-medical college oourb08.

Article 4500, es amended,Vernon*5Annotated Civil Statutes,provides for Veolprooal arrangement..*
aa tollow8:

The State Bor;rd

of Xedloal Exaralnsrs ms -- in ItXlXlon, lqon $Tyiiiz 'byen + aFF1 oaut of 5 lee of iat9 Dollarrr($501,gract lioenae to preOtiO0 medicine to any reputableyhjsloian who Is a 0ltll;en

of the United Stetea,and a graduate of e reputablemedioal oollege, or who haa Wallfled on examinationfor e eertlfloete of media61 ~ualffloatlonfor 8 oolnniselon In thebiedicalCorps of the **United** ,Statee Am4 OT **Navy,** ana **to** lloentiatsr of other **States** s Terrltorle8hiiSin re **ulresneiXsTiFmTifiZiT co**  **TG** tg~$rdiaZt$hiiZi?o~ose ertab+

h a State, -A$IGiition8 for lfoen~uiiii ‘iIie-$YXXEG of tklsArt1010 shall be in writing and upon **a** form to be preooribed by **the** State Board oi 1eQloal Examlne~8. **Said** application shallbe eoooqanied by a diploma,
or a photograph thereof awar4ed to the appliaant by a reputableme&al oollege, a&l, in the
caee OS an &nq or Naval affioer, a oertlfled tramiaript or a oertitlaate , or lioense, or eommission issued to the applloentby theYedloal Corps of the tlnited Stat.88

Army OT Navy, or by
a lioenee, or a oertlfiea oopy of lloense ta praotioemedlalne, lawrully Issued to the agpllcMt, upon eX&%Lination, **by** sore Other %ibte 01 Terrltorg of theUnited Stabs. Sal8 applioa$Wn mall aloo be aooompanld by a~ affidavitma40 by ariexeoutloe oftloer of the Ibe&ioal Oarpa oi the United Statso Amy or Nay, f&e President Or Yeoretery of the Board of I&ebiaal Examiner8whicrh issued the said license or by a legally 0bna0itutedmedioal regl*tretfon 0friabr of the stat4
or gerrltory by *ioh the eertlfleateoc ll~eaee
nae granted, and tn whloh the applioatlonfolr mediaal registration l.n **Term** is based, reoitlngEverett ti. %%lson, D.O., f"sge0

that the aooonpanylngoertifloete or license has not been canceled or revoked, exoept

### by honorable dischargefrorrthe Medical Corps of the United ;itetee &my or Navy, end that the stataslent

of the o.ualiflo~tlons made in the epplloetlon 

### iorssdioal lloenae In Texee la true and oorreot. Ap~llaante for lioense **under** the provisions of thls Artiole shall eubaorlbe to an oath Inwriting berore an officer aut&orlzed by law to administer ostho,whioh shellbe e part of aald ep~llcatlon,stotlng that the license, 08rtifiOat8, or authorityunder whloh the applloent praotloedmedlolne in the State or Territory 

### from whioh the 

### l

pplloant removed, was et the time of euoh removal in iull roroe, andnot 6u8- pended or osnoeled. Sald epplloatlon 8hall also etste tbat the appllcent la the ldentioalperson to whom the said certlilonte,lloenee, or aommisieion,

and **the** saidmsdioel diploma were lasued, and that no prooeedlnghas been inetituQed against the applloent ror the 0aEcelletionof said oertffloet6,license, or aut&orlty to praotloemedlolne in the 5tste or Territory by which the samewas issued; an8 thot no proseeutlon l8 pending against the applloant ln any State 

### or Federal eonrt for any offense whleh **under** the law of Texas la a felony. **A** reputablephyelolan within themaenin of this Artlola shall be one who would **be** eligble

f for sxadn~~tlon by the Board of Ned5oel Bxamlnersunder the -,rovlslon# or Artlole 4506 of the Rerieed Civil statute*ot Tow of l9~5, as emended by this Aot. A reputable medloel oollegewithin the meadnng of this Art%- ole shall be suoh ee la defined in Artlole 4501 of the Revieed Civil Statu~eo **O?** TeXetI Of 1988,
as amendedby this **Aot.** It is prorlded,however, that the Board may, under the prorlelona of thi8 Artiole, In ltn diaoretion,grant lloenae to any reputable pbyalolan of another State, Trrrritory,

**or District,**  **who graduated**  prior **to** the year 1909

**rrom** a medloal oollege tilah at the time of hi8 graduation reculred OR; K three 3 OOUTSO~ O? InI I etruotlon of net leas t an six 6 months eaoh ior attainment of lte diploma, or **the** degree **of!** Doctor or tiedloine, 

### endwhlah at the time of hia graduetlonma generallyreeognlaedby themedioal

l

## 683

Evurett '8.iY:leor,, D.0;. page 0

examlnlngboard8 of the z3,at;ee of the Union (LB IWSiAt6iAing entranoe reQUireaeA%S and oo~me#I
Of inatruCtiOA equal t0 thosemaintaiaed by the than better olava of snedioal sohools of the United Gtatss; and provided further that the said applioant for llcenee to praotloemdlolne in this State ehail appe:?r before the Botrrdin executive seseion and pass a retlefaotoryoral
euMiAatiOA in r;reotioal subjectsa8 mar be meNo. 148, 8 1.' -(Undersoo5lngours).
Artiola 4694, 66 amended, Vernon'sAnnotate4 Civil Statufer,relating to Woonetruotlonot ttiislaw, read8 in pert: *Z?othing fn this Chapter shall be 60 BOW strued a8 to Uleorlminato a&nst any partiotitar Sohool OT #y&em of medioal praotioe, nor to atfeat or limit In my way the a~plloation or use of the prinoiples, tenets, or teaohlnge of any ohuroh in theministration to the rlak or au?- feringby prayer,without the use oi aAy 

### dru&or material remdy, provided tmnltury and quarantln8 law8 and regulation8are oampliedwith; and provided, rurther, that all these 80 rarinietering or orfering to mlnieter ta the olak or atifaring **by** prayer ahall **refrain** rrom maintaining oitioee, exoegt for the purpose of ererois5.q the prin~iplea, tenets, or tsaohlngs of the ohuroh of whioh they are bona fldo membor8. Y * * w
Artiolo 16, Seation 31 at the TeraE Constitution providea, in part, 6e followat

"The Leglrrlature

may paas 1awt1

presorlbingEverettpi.Bi,lson, D.O., page l0

tho qUI&iiiiOatiOAU of prastltionars 0r madlolne In 

### thlr Stata, and to punish persons for mslpraotioe,but no preferenos shall ever **be given**  **by law**  to any sohools ofme610ino.w
Reviewing Artlole 4500, suprs, it provides that ths Stats Board of Xedioal Sxsmlners *me7, In Its diroretlori,

* + Y grtmi iiornae to praotioe ~afcin0 + e * ts llssntlatss of other State8 oc Tcrrltorlos having requlrtmst.ats r0r medloal ryllstratlonand praotlos l quu to those eutebllshedby the laws of this State".
Applloetlonmat be aooompmnid in the aass of ~lloantlatesof other Siete8w **by** a 110~~68, or a **otrtl** flsd oopy 0r lioenee to preotloameflioine, lawfully iasuul **to** tho applfoant,upon exa%ilnatlan b7 some othe!#

State
or Territory OS the United **States.**

**Them** em ed&itIonel requirementswioh need not **be** dlsouesed hers. A primary **oonditlan** ia oontalnsd ln the fiRa SeRteAOe Of &tiOh dboo, SUprat

*The 8ald Board shall not, unber the ~rovtsion of this Artiole, pant 8 lioen8o to 

### praatiesmedicins In this St&t* t0 ska~pliosnt who **does not**  hold a llosnse lssusdby M&her Stats, Terrlttory,

or Distrlst of theUnftsd States, 4dY9 00 him the aams right to praotloemedioino ~a the State, Territory, 

### orDi8trlo% issuln(g ~611%lioensewhish s liossss to **praotloe**
JladiOtn8 illthiB Stat6 &Ye8 to 6 PhpSiOiM Oi ttds Ststb In Texae.*

The present sltu8tlon la on) tnrolrirq the q&iaction of the rnolprooitp statute,Artlole 4500, aupre, Ths lnnguags 0r this statute 18 olsar sub 

## l xpliolt as to tbs autkorlty ct the .3tate 

### Boardof VredioalExsmfners BVW the applicationsof lloentiaterof other States or Territories.

It is OUT opinion that u&%&r Artlole 4800, as **#mend@&,** ~~AeA’a klnOtBted Cit%l 3atutb8, thsm&ifJa;l reslproolty a&, the Texar 3t6te **Boned of**  b%dicsl Eurainsrs hue Ohs authority to US@ 16118lsatitfos in @slItiN lloensee to preotloe faeelolxo.tiQ UQ*zMatas of Q*sFBvantt W. Ullscm,D.O., Pega l.l

states and that itmay legally rajsot the qpplloatlon
0r a lloamd praotitloaar 4r msdlolne in l u0ther stats, **ahether 5~3** 

that em3 **a** *00r;300fte **tip8** 0r **BOG SUO~**  as **oxlsts** in Texas or nepacatrBocardafor the differant fields or madlc~~e lssuad tha lloenas of the out of **stats opplioanto**  **w2mnemitr the**  Taxas 

### Beard or 

### Modloal ik~~lnors 18 

### satistlsdthat the raqulmmrnts undsr whloh the 

### lioentieta In tha sister stats obtelnad his lloonu
ua **requlremants** 

### rornmdloal ngiotretlon 

### an4praotioo whloh 

### do

not l qunl ttws astabllshsdbT the laws of **this state.**  

### &oh aotlonon the Dart or ths Board, pursuaut to the term0 or kt101. umo, does not rlolata tie pratlaions 0r Artioie xn, Lzaotion 30 or the 

### Tsxasoon8tltutlon in **rompsot** 

### to *soho at medlolna" and Arblols NW, as **amendrd,** in raspactto dlaorlmluatlonagainst any partioular sohool **or myate&**  of amdloalpraotlos.

In &nswor to your third q~uastlon, this drpartmatit hau held thot the **prtiotloo** of OstWpathJ 

### 10 rlthln ths phramo atho praotloa of mwIl~ina*~ Oplnloa iio. O-U98 to ths Texas Mats Board of Medloal

### Exemlners, by Hon. Wllllam f. lpannlag, **Aeaiatmt** AttoreT densral.

Artlola 4810, R.C.8. of lSSII, prorldes~

wny penson 8hal.l be regnrdad as Dra0tlOing 

### medioinowlthlnths m0anlng Of t&l8 lat

1. Who shallDubllolyDroIeea to be 8 pho810ian or surgeon and shall trsat, or orrw to 

### treat,any 

### dleeaneor dl8erder,itamtal or physloal, or any phjrsloal **dsfordty or**  **i.uJury,** by 6z3y eymtem or method, or to 

### eri'eot 0ww1 tharsoft

8. Or who shall treat or 0rrer t0 treat any dleeass or Plaordsr,runtal or physloal, Or any phTsloa1 deformity

### or injury by any systma

### or method, or +A effaot OUMS thsraoi and ohargcr th4rsfor dlreotlp or lndlrsotly,m01iof or 

### ot)ur eO@lPensatlonr"

~rtlols 

### 4500,aa ommdod, **Vernon*8** **Annotated** 

### Cl~ll statutes,prwldss that **the** State Board may ln it8 dl~o~- tlon 

### granta ilOans 

### topraotio*mabloimr *Co lloentlatr8 of other states 

### orTerrltorleshaving rrqulrenwxts fOX

## 686

Everett **W.** Wilson, D.O., page 12

medloal registration**end** praotloe equal to those eetabllshedby the laws or this State,'upon oompllenceby the lloentiateswith certainrequirements set out in the statute.

In passing upon the applicationof a lloensee
0r a sister state, the state Board 0r ldedioel **Exami.ueirs** must determinewhether or not these requirementshave been met: first, that the prerequisite8of medloal regl&ration and praotioeof the sister state are in ooniormltywith the standardsestablishedby the law or Texas; aeoond, that the extent oi the rl@t to Draotloe medlalne whioh the lioense of the elster state ooufera 1s oo-equal with the prlvllegeeand aoope o¶! praotloe oonferred by the Texas license, lrrespeotiveof the nature of the license, Itswording or the type of Board whloh iselms it.

Where an applioant for a lloeuae to praotloemedialne in Texas presents a license grantedby another state whloh reads wto praotioe osteopathy*,the applloatlon 1s wlthln the jurlsdiotionot the State Board oflledlaal

### Examiners and the Board has authorityto consider the application under the Medical BeoiprooltyStatutes,Artiole 4500, as amended,Vernon'sAuuotated Civil Statutes. Where the applloauthas securedhis aleter state lloenseby fulillllng requirements formedioal registration endpraotloe equal to those establishedby the laws of this state, a8 provided in Article 4500, and hasmet the other reqtiredaents of Artlole 4500 applicable to an out of state lloentiate applying for a !l'xxas license it la wlthln the dlsoretlon of the State Board of Medical Exaxlners to grant aaid applicant a llaense to praotloemedloine in Texas. Trusting that the above fully answers the lnqui+ lee oontalued in your three lettera;we are

Yours very truly

ATTCBEEYGEEEBALOFTEEkS