bullred.gif (1398 bytes) Applications
bullred.gif (1398 bytes) pdf icon Board Information
bullred.gif (1398 bytes) Certification/Verification
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bullred.gif (1398 bytes) Duplicate/Reissue
bullred.gif (1398 bytes) Fees
bullred.gif (1398 bytes) pdf icon Intern Hours Verification
bullred.gif (1398 bytes) License Lookup
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Pharmacist Intern

pdf icon The following links are in pdf format (if applications that are not available as links, please contact Tressa at (402) 471-0184.

pdf icon Application for Registration
pdf icon Affidavit of Pharmacy Hours
pdf icon Affidavit of Clinical Pharmacy Hours

These forms may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address listed.

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Documents in PDF PDF format require the use of Adobe Acrobat Reader which can be downloaded for free from Adobe Systems, Inc.