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1 2 3 4 5 6 7 BEFORE THE BOARD OF PHARMACY DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA8 9 10 11 12In the Matter of the Accusation Against:Case No. 697413 14JAKE WILLIAM MACHINE 619 Shay Lane
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Who needs stipulated surrender of license?

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Individuals who wish to voluntarily surrender their professional or personal license for reasons such as retirement, relocation, or change in career path.
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Stipulated surrender of license is when a license holder agrees to voluntarily give up their license.
Any license holder who wishes to voluntarily surrender their license must file a stipulated surrender of license.
The stipulated surrender of license form can usually be obtained from the relevant licensing authority and must be filled out with the required information and signatures.
The purpose of stipulated surrender of license is to officially and voluntarily relinquish a license that the holder no longer wishes to maintain.
The stipulated surrender of license form typically requires information such as license holder's name, license number, reason for surrender, and signature.
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