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IMPORTANT! - Registrants should allow a MINIMUM OF TWO WEEKS from date of receipt for your application to be processed. 

Renewal applications for the 2017-2018 renewal period: [for licenses expiring in 2017]

Applications for NEW license or CHANGE of Name, Ownership or Location: [also see required ownership forms below]

Each new application or application for change of Name, Ownership or Location must also have one of the following forms attached, please choose your type of ownership and attach the appropriate form:

    • Form A - Sole Proprietor or Partnership
    • Form B-1 - Corporation (not publicly traded)
    • Form B-2 - Corporation (publicly traded)
    • Form C - Limited Liability Company
    • Form D - Government

Licenses are non-transferable! A new application is required for any change of owner, change of location or change of name.

Other forms & guidelines:

 

Last Modified on 02/22/2017
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FAQs

Q: When will I receive a renewal for my license?
A: Renewal applications for pharmacies and facilities are mailed approximately 60 days in advance of the date of expiration. If needed, registrants may download a renewal application form from the Board website.

Interesting Facts

"GAS DISTRIBUTOR" - a business that may sell medical gases on drug orders issued to patients and to medical gas suppliers or other entities licensed to use, administer, or distribute medical gases.
"GAS SUPPLIER" - a business that may sell medical gases only on drug orders issued to a patient.
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