Get DEA-224 2005
Cted of a crime in connection with controlled substance(s) under state or federal law, or ever surrendered, for cause, or had a federal controlled substance registration revoked, suspended, restricted, denied, or ever had a state professional license or controlled substance registration revoked, suspended, denied, restricted or placed on probation? Date(s) of incident: Location(s) of incident: Applicants who have Nature of incident: answered "YES" to any of the four questions above must provid.
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