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Bureau of Professional Licensing PO Box 30670 Lansing, MI 48909 Telephone: (517) 2410199 www.michigan.gov/bpl BPLHelp@michigan.govCOLLEGE OF PHARMACY AFFIDAVIT Authority: Public Act 368 of 1978, as
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How to fill out college of pharmacy affidavit

01
Obtain the college of pharmacy affidavit form from the appropriate authority.
02
Fill out all required personal information such as name, address, and contact details.
03
Provide details on your educational background including the name of the college attended, degree earned, and year of graduation.
04
Sign and date the affidavit to certify the information provided is accurate.
05
Submit the completed college of pharmacy affidavit form to the designated office or entity.

Who needs college of pharmacy affidavit?

01
Individuals who are applying for licensure or certification in the field of pharmacy.
02
Pharmacy students who are completing internships or rotations.
03
Pharmacists who are seeking to renew or update their licenses.
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The college of pharmacy affidavit is a legal document that certifies compliance with pharmacy education and training requirements.
Pharmacy students or graduates who have completed or are currently enrolled in a pharmacy program are required to file the college of pharmacy affidavit.
To fill out the college of pharmacy affidavit, individuals need to provide personal information, details of their pharmacy program, and sign the document to certify its accuracy.
The purpose of the college of pharmacy affidavit is to ensure that individuals meet the necessary education and training requirements to practice pharmacy safely and effectively.
Information such as personal details, pharmacy program attended or currently enrolled in, and any additional training or certifications must be reported on the college of pharmacy affidavit.
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