Get Nd Verification Of Licensure 2010-2025

This guide provides comprehensive instructions for completing the ND Verification Of Licensure online. It aims to assist users in navigating the form efficiently while ensuring accuracy in their submissions.

Follow the steps to fill out the ND Verification Of Licensure accurately.

1. Press the ‘Get Form’ button to access the ND Verification Of Licensure form and open it in your preferred document editor.
2. In the top section of the form, fill in the name of the company that is physically located at the designated address. This includes the street, city, state, and ZIP code where the company is based.
3. Indicate the specific type of license that was issued by the North Dakota State Board of Pharmacy by circling the correct option from the provided choices: Wholesale Manufacturer / Distributor License, Intern, Out-of-State Pharmacy Permit, Registered Pharmacy Technician, or Pharmacist.
4. Enter the North Dakota License number in the designated field. This is crucial for identifying the specific license being verified.
5. Complete the fields where it requests the issue date of the license and the expiration date. Ensure that these dates are accurate to maintain compliance.
6. Review the statement provided to confirm that the license is current, active, and in good standing with the North Dakota State Board of Pharmacy. Make sure that there are no disciplinary actions taken or pending regarding this license.
7. Locate the signature section where the designated authority, in this case, Eileen Heidrich, the Executive Assistant of the North Dakota State Board of Pharmacy, usually signs the document. Ensure you leave this space blank, as it will be completed by the board.
8. Finally, save your changes to the form. You may choose to download, print, or share the completed form as necessary.

Complete your documents online for a seamless and efficient process.