Notice of Change

Changes in any information required for licensure must be reported to the Board within ten (10) days [535:25-3-7(d)]. This includes name, address, employment, etc.

1. Pharmacists, Interns & Technicians may use the form below to report a change of address and/or change of employment via mail.
   • Changes are also accepted via e-mail or fax. [see Board contactinfo]
     
     
2. Pharmacists & Technician may also log-in to the OSBP License Renewalto update personal information, continuing education units, or practice data at any time.
   
   
3. Licensed Pharmacies & Facilities must complete a new application for any change of owner, change of location or change of name (see "Download Forms").

• Notice of Address or Employment Change Form