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STATE BOARD OF PHARMACYLICENSE APPLICATION: Pharmacist by Exam800 SW Jackson, Suite 1414 Topeka, Kansas 666121244 www.pharmacy.ks.gov (785)2964056 pharmacy@ks.gov Fax (785) 2968420Form LA01EINSTRUCTIONSAll
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How to fill out la-01r-pharmacist-by-reciprocity-transfer
How to fill out la-01r-pharmacist-by-reciprocity-transfer
01
Obtain the LA-01R Pharmacist By Reciprocity Transfer form from the Louisiana Board of Pharmacy website.
02
Fill out the personal information section including your name, address, phone number, and social security number.
03
Provide information about your current pharmacy license including the license number, issue date, and expiration date.
04
Submit any required documentation such as verification of licensure from your current state.
05
Sign and date the form to certify that all information provided is true and accurate.
06
Submit the completed form and any accompanying documentation to the Louisiana Board of Pharmacy for processing.
Who needs la-01r-pharmacist-by-reciprocity-transfer?
01
Pharmacists who are licensed in another state and wish to transfer their license to Louisiana by reciprocity.
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What is la-01r-pharmacist-by-reciprocity-transfer?
The la-01r-pharmacist-by-reciprocity-transfer is a form used to transfer pharmacist licenses by reciprocity.
Who is required to file la-01r-pharmacist-by-reciprocity-transfer?
Pharmacists who wish to transfer their license by reciprocity are required to file the la-01r-pharmacist-by-reciprocity-transfer form.
How to fill out la-01r-pharmacist-by-reciprocity-transfer?
The la-01r-pharmacist-by-reciprocity-transfer form can be filled out online or downloaded and submitted by mail.
What is the purpose of la-01r-pharmacist-by-reciprocity-transfer?
The purpose of the la-01r-pharmacist-by-reciprocity-transfer form is to facilitate the transfer of pharmacist licenses between states.
What information must be reported on la-01r-pharmacist-by-reciprocity-transfer?
The la-01r-pharmacist-by-reciprocity-transfer form requires information such as personal details, current license information, and a request for reciprocity.
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