Transcription of State of Florida
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DBPR-DDC-217 - Application for Permit as a Medical Gas wholesale distributor Incorporated by rule(s): , Eff. Date: April 2016 Page 1 of 10 State of Florida Department of Business and Professional Regulation Division of Drugs, Devices, and Cosmetics Application for Permit as a Medical Gas wholesale distributor Form No.: DBPR-DDC-217 APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing. APPLICATION APPLICATION REQUIREMENTS Application for Permit as a Medical Gas wholesale distributor Enclose the fee of $ , which includes $ biennial application fee and $ initial application/on-site inspection fee. If the applicant is providing an inspection report as set forth in Section VI, the applicant would submit a fee of $ Make cashier s check, corporate or business check, or money order payable to the Florida Department of Business and Professional Regulation.
State of Florida . Department of Business and Professional Regulation . Division of Drugs, Devices, and Cosmetics . Application for Permit as a Medical Gas Wholesale Distributor . Form No.: DBPR-DDC-217 . APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
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LOUISIANA BOARD OF WHOLESALE DRUG DISTRIBUTORS, Wholesale Distributor, Wholesale, Maryland Board of Pharmacy, Maryland Board of Pharmacy Wholesale, Distributor, State of Florida, State of Florida Department of Business and Professional Regulation, Distributor License and Controlled Substances Registration, MONTANA BOARD OF, The Role of Distributors and Brokers, WHOLESALE DISTRIBUTOR APPLICATION INSTRUCTIONS, WHOLESALE PRESCRIPTION DRUG DISTRIBUTORS LICENSE, Distributor/Wholesaler Supplemental Application, Pharmaceutical Wholesaler License Application Packet