# 77 Ill. Adm. Code 518.1155: Section 518.1155 Application for Annual License Renewal

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1155

## Section

- **Citation:** 77 Ill. Adm. Code 518.1155
- **Heading:** Section 518.1155 Application for Annual License Renewal
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 77 PUBLIC HEALTH / CHAPTER I: DEPARTMENT OF PUBLIC HEALTH / Part 518 FREESTANDING EMERGENCY CENTER CODE / Section 518.1155 Application for Annual License Renewal

## Text

Section 518.1155  Application
for Annual License Renewal
a)         Application for annual license renewal shall be submitted at
least 90 days prior to licensure expiration on forms prescribed by the
Department.  The application shall include, at a minimum, the following
information:
1)         The names, addresses and telephone numbers of all persons who
own the facility, any name under which any of these persons does business, and
the type of ownership of the facility (for example, individual, partnership,
corporation, or association).  In addition, a corporation shall submit:
A)        A list of the title, name and address of each of its
corporation officers; and
B)        A list of the name and address of each of its shareholders
holding more than 7.5% of the shares;
2)         For other than individual ownership, the name and address of
the Illinois Registered Agent or persons legally authorized to receive service
of process for the facility;
3)         The names and addresses of all persons under contract to
manage or operate the facility;
4)         The name and exact address of the facility;
5)         The names and addresses of the Administrator, Medical Director
and Nurse Manager.  In addition, the education, experience, credentials and any
professional licensure or certification of these individuals shall also be
submitted if this information was not submitted with the initial application or
a prior renewal application, or if this information has changed since the prior
submission.  The facility shall inform the Department of any change in this
information at the time that the change occurs;
6)         A list of medical staff, including names and license numbers;
7)         A copy of the organizational plan and description of services
if changes have occurred since the last submission; and
8)         Identification of any plans of correction currently in effect
as a result of State and federal surveys
Department of any change in this
information at the time that the change occurs;
6)         A list of medical staff, including names and license numbers;
7)         A copy of the organizational plan and description of services
if changes have occurred since the last submission; and
8)         Identification of any plans of correction currently in effect
as a result of State and federal surveys.
b)         Each renewal application shall be accompanied by a
non-refundable license renewal fee of $2000 and proof of compliance with all
reports required by the Department.

## Nearby sections

- [77 Ill. Adm. Code 518.1000 Section 518.1000  Definitions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1000.md)
- [77 Ill. Adm. Code 518.1050 Section 518.1050  Incorporated and Referenced Materials](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1050.md)
- [77 Ill. Adm. Code 518.1100 Section 518.1100  Freestanding Emergency Center Licensure](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1100.md)
- [77 Ill. Adm. Code 518.1150 Section 518.1150  Initial Licensure Application](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1150.md)
- [77 Ill. Adm. Code 518.1155 Section 518.1155  Application for Annual License Renewal](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1155.md)
- [77 Ill. Adm. Code 518.1160 Section 518.1160  Surveys](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1160.md)
- [77 Ill. Adm. Code 518.1165 Section 518.1165  Complaints](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1165.md)
- [77 Ill. Adm. Code 518.1200 Section 518.1200  Emergency Suspension Orders](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1200.md)
- [77 Ill. Adm. Code 518.1250 Section 518.1250  Violations and Hearings](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1250.md)
- [77 Ill. Adm. Code 518.1300 Section 518.1300  Governing Board](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1300.md)
- [77 Ill. Adm. Code 518.1350 Section 518.1350  Provision of Emergency Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1350.md)
- [77 Ill. Adm. Code 518.1400 Section 518.1400  EMS System Participation](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1400.md)
- [77 Ill. Adm. Code 518.1450 Section 518.1450  Patients' Rights](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1450.md)
- [77 Ill. Adm. Code 518.1500 Section 518.1500  Language Assistance Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1500.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P518_S518_1155. Check the current official text before relying on it. Not legal advice.