Term and Tenure. The initial license is active for a period 1 year, and, after that, may be renewed twice for a term established by the Board. After two renewals, a licensee seeking any additional renewals shall provide documentation to the Board 3 months before the expiration of the licensee’s license indicating the continued significance of the licensee’s work at the sponsoring institution that requires the license to be renewed for another term. Unless the Board has been advised and approves of an appointment at a new institution, a license issued under this regulation expires immediately when an individual leaves the appointment at the sponsoring institution. Initial Renewal. As part of the initial renewal process: The supervising physician shall submit an attestation, approved by the Board, that the licensee was supervised for a period of at least 6 consecutive months; and The licensee shall complete a renewal application form, after Board approval of the attestation. Second Renewal. A license issued under this chapter may be renewed in a second renewal: On a date set by the Board; and As specified in COMAR 10.32.01. A licensee for second renewal shall: Complete a renewal application form; Meet the requirements set out in COMAR 10.32.01.10, including completing at least 50 hours of continuing medical education units; and Pay a renewal fee set by the Board in COMAR 10.32.01.12. A licensee shall inform the Board of the institution where the licensee plans on practicing for the renewal term. Subsequent Renewal. A license issued under this chapter may be renewed in subsequent renewals: On a date set by the Board; and As specified in COMAR 10.32.01.12. A license for subsequent renewal shall: Complete a renewal application form; Meet the requirements set out in COMAR 10.32.01.10, including completing at least 50 hours of continuing medical education units; Provide documentation to the Board 3 months before the expiration of the licensee’s license indicating the continued significance of the licensee’s work at the sponsoring institution that requires the license to be renewed for another term; and Pay a renewal fee set by the Board in COMAR 10.32.01.12. A licensee shall inform the Board of the institution where the licensee plans on practicing for the renewal term.