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[DOC File]LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
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List the brand or generic name, CDS schedule, dosage and quantity of the medication which the applicant proposes to dispense. Attach additional pages as needed. Copy, Scan or Printed Online Verification of Applicant’s Louisiana Controlled Dangerous Substance License
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[DOCX File]LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
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License to practice medicine duly issued by the Louisiana State Board of Medical Examiners; Applicants for a Legend & CDS Dispensing Permit are required to have been in the active practice of medicine for not less than three years following the date on which the physician was awarded an MD or DO degree.
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[DOC File]Top line of doc - Louisiana
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1. All PRTFs that store or dispense scheduled narcotics shall have a site-specific Louisiana dangerous substance license and a United States Drug Enforcement Administration controlled substance registration for the facility in accordance with the Louisiana Uniform Controlled Dangerous Substance Act and Title 21 of the United States Code. 2.
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[DOCX File]www.medschool.lsuhsc.edu
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) and CDS (www.labp.com) by March, at the latest. State licensure can take approximately 4-8 months to complete, so apply early. First, apply for your state CDS license. Cost: $45 and must be mailed. Once you have been approved for your CDS state license, you can apply for a …
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[DOC File]Date:
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Print Name: Signature: Louisiana Medical License. Number State (CDS) Narcotics Number: Federal DEA Number: Medicaid Provider Number: Date: Service: Credential Office: Copy of completed form to: Pharmacy Department . Health Information Manager. CONFIRMED HEATH STATEMENT 1.
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Cds license verification louisiana