The Director General of the Centre national de gestion, on behalf of the Minister for Health, shall, after obtaining the opinion of the commission provided for in article R. 4111-15, issue the authorisation to practise provided for in Ia and II of article L. 4111-2 and in articles L. 4131-1-1, L. 4141-3-1 and L. 4151-5-1, on the basis of an application accompanied by a file compiled in accordance with the procedures laid down by order of the Minister for Health.
The files are sent to the national management centre, which acknowledges receipt of the application within one month of its receipt and, where applicable, informs the applicant within the same period of the missing documents and information.
Silence kept by the competent authority for six months on applications submitted in application of Ia of article L. 4111-2 and for four months on those submitted in application of II of article L. 4111-2, articles L. 4131-1-1, L. 4141-3 and L. 4151-5 from receipt of a complete application shall be deemed to constitute a decision to reject the application.