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You must answer all questions and provide all information requested unless otherwise indicated. [02-05-96; 7-31-98; 16.19.1.3 NMAC - Rn, 16 NMAC 19.1.3, 03-30-02] 16.19.1.4 DURATION: Permanent. Jason R. Kramer, Executive Secretary Email: acupbd@nysed.gov, Phone: 518-474-3817, ext. Section III:You and your preceptor pharmacist must sign in this section, affirming that the statements in Section I and Section II are true. \textbf{Stockholders' Equity}\\ There are approximately 2200 NYSCHP members along with a well-established network of leaders serving on the NYSCHP Board of Directors, NYSCHP committees and chapter officers in thenine local chapters in NYS. For answers to questions concerning practice issues, establishment registrations (pharmacies, wholesalers, repackers and manufacturers) or continuing education requirements, contact: NY State Education Department Office of the Professions State Board of Pharmacy 89 Washington Avenue Albany, New York 12234-1000 560, Fax: 518-486-4846, Evan Seiden, Executive Secretary Email: mhpbd@nysed.gov, Phone: 518-474-3817, ext. Be sure to sign item 10 and have your signature notarized by a notary public. Join us for a Virtual shadowing . Do not use Form 1 to renew your existing license.Continuing Your Application Portions of this site may still be under development, so if you experience any issues or have any questions please submit a, Statutory Composition & Current Membership, Statutory Composition & Current Membership, Medical Physics, Committee for (to assist Medical Board), Respiratory Therapy (includes Polysomnographic Technology), 4 licensed physicians certified to use acupuncture, 1 educator who holds a doctorate or equivalent degree in either anatomy, physiology, pathology, chemistry, or microbiology, 4 licensed clinical laboratory technologists, 1 certified clinical laboratory technician, 1 representative of the diagnostic/manufacturing industry, 1 director of a clinical laboratory who shall be a physician, Mary Ellen Clerkin, Public Member - 04/18/26, 2 licensed architects who practice primarily interior design, 1 licensed professional engineer with expertise in interior design, 4 persons who have been engaged in the teaching, research, or practice of massage therapy for at least three years. 1. NYS Pharmacy 150, Fax: 518-474-0126, Robert Lopez, Executive Secretary Email: archbd@nysed.gov, Phone: 518-474-3817, ext. New York State Board of Pharmacy Member Binghamton University School of Pharmacy and Pharmaceutical Sciences 7 years 11 months Associate Professor, Dept. hb```B ear Maureen Pelose - Strategic Business Advisor - Gilroy Kernan - LinkedIn 742 0 obj <> endobj 2023 All Rights Reserved, We will use your feedback to improve NYC311.