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.
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.
Form Details:
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.