Notarized Supplement to Application for South Dakota (In-state) Resident / Non-resident (Out-of-State) Pharmacy Licensure or Renewal - South Dakota

Notarized Supplement to Application for South Dakota (In-state) Resident / Non-resident (Out-of-State) Pharmacy Licensure or Renewal - South Dakota

Notarized Supplement to Application for South Dakota (In-state) Resident/Non-resident (Out-of-State) Pharmacy Licensure or Renewal is a legal document that was released by the South Dakota Department of Health - a government authority operating within South Dakota.

FAQ

Q: What is the purpose of the Notarized Supplement to Application for South Dakota (In-state) Resident/Non-resident (Out-of-State) Pharmacy Licensure or Renewal?
A: The purpose of this supplement is to provide additional information required for pharmacy licensure or renewal in South Dakota.

Q: Who needs to complete this Notarized Supplement?
A: Both in-state residents and out-of-state non-residents applying for pharmacy licensure or renewal in South Dakota need to complete this supplement.

Q: What information does the Notarized Supplement require?
A: The supplement requires the applicant to provide details on any disciplinary actions, criminal convictions, and any other information relevant to their pharmacy practice.

Q: Do I need to have the supplement notarized?
A: Yes, the supplement must be notarized by a qualified notary public before submitting it.

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Form Details:

  • Released on April 1, 2023;
  • The latest edition currently provided by the South Dakota Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Department of Health.

Download Notarized Supplement to Application for South Dakota (In-state) Resident / Non-resident (Out-of-State) Pharmacy Licensure or Renewal - South Dakota

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