Louisiana Board of Pharmacy


Please Note

We are a service company that can help you file with the Louisiana Board of Pharmacy. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Physical address:
3388 Brentwood Drive
Baton Rouge, LA 70809-1700

Phone: 225-925-6496
Fax: 225-925-6499

Web: Home Name search Forms
Email: info@pharmacy.la.gov

Licenses

We track the following licenses with the Louisiana Board of Pharmacy in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Louisiana Automated Medication System Registration

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Automated Medication System (AMS) Registration

Agency Fee:

$0 if the facility address is the same as the pharmacy address, $150 if not.

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Automated Medication System (AMS) Registration

Agency Fee:

$0 if the facility address is the same as the pharmacy address, $150 if not.

Due:

Annually by June 30.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Advanced Practice Registered Nurse

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Animal Euthanasia Technician, Certified

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$20

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$20

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Animal Euthanasia Technician, Lead

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$20

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$20

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Automated Medication Systems

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Automated Medication System (AMS)

Agency Fee:

$25

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for AMS

Agency Fee:

$25

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Automated Medication Systems - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Automated Medication System (AMS)

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for AMS

Agency Fee:

$0

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Dentists

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Distributor

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$50

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$50

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Drug Detection/Canine

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$30

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$30

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Hospital

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$50

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$50

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Hospital - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$0

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Laboratory

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$20

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$20

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Laboratory - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$0

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Manufacturer

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$100

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$100

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Medical Interns and Residents

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Medical Psychologists

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Miscellaneous

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$20

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$20

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Miscellaneous - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$0

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Optometrists

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Pharmacy

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Pharmacy

Agency Fee:

$25

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Pharmacy

Agency Fee:

$25

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Pharmacy - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Pharmacy

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Pharmacy

Agency Fee:

$0

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Physician Assistants

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Physicians

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Podiatrists

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Registered Outsourcing Facility

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$100

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$100

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Researcher

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$30

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$30

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Sales Representative

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Selected Persons & Organizations

Agency Fee:

$20

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Selected Persons & Organizations

Agency Fee:

$20

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Substance Abuse Clinic

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$50

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$50

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Substance Abuse Clinic - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Facility

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Facility

Agency Fee:

$0

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Telehealth for Nonresident Advanced Practice Registered Nurses

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Telemedicine for Nonresident Physicians

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$45

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$45

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Controlled Dangerous Substance License - Veterinarians

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New CDS License for Practitioner

Agency Fee:

$20

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of CDS License for Practitioner

Agency Fee:

$20

Due:

Annually by the date of issuance.

Fact Checked:4/5/19

Louisiana Durable Medical Equipment Permit

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Durable Medical Equipment (DME) Permit

Agency Fee:

$150

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of DME Permit

Agency Fee:

$150

Due:

Annually by August 31.

Fact Checked:4/5/19

Louisiana Emergency Drug Kit Permit

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Emergency Drug Kit (EDK) Permit

Agency Fee:

$25

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Emergency Drug Kit (EDK) Permit

Agency Fee:

$25

Due:

Annually by June 30.

Fact Checked:4/5/19

Louisiana Pharmacist License

Agency:Louisiana Board of Pharmacy
Fact Checked:2/27/19

Initial Registration

Form:

Application for New Louisiana Pharmacist License

Agency Fee:

$300

Original Ink:Not required
Fact Checked:3/1/19

Reciprocal Registration

Form:

Application for New Louisiana Pharmacist License

Agency Fee:

$450

Original Ink:Not required
Fact Checked:3/1/19

Registration Renewal

Filing Method:

Online

Agency Fee:

$100

Due:

Annually by December 31st.

Original Ink:Not required
Fact Checked:3/1/19

Louisiana Pharmacy Intern Registration

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Pharmacy Intern Registration

Agency Fee:

$10

Fact Checked:4/5/19

Renewal Not Required

Not required



Intern registrations cannot be renewed.

Louisiana Pharmacy Permit - Charitable

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Community (Chain)

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Community (Independent)

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Hospital

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Hospital - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$0

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Institutional

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Institutional - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$0

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Nonresident

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Non-Resident Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Non-Resident Pharmacy Permit

Agency Fee:

$125 renewal fee + $25 prescription monitoring program (PMP) fee + $100 pharmacy education support fee.

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Nonresident Compounding

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Non-Resident Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Non-Resident Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Nonresident Correctional Center

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Non-Resident Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Non-Resident Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Nonresident Nuclear

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Non-Resident Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Non-Resident Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Nuclear

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Penal

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Penal - Exempt

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$0

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$0

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Remote Processor

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Special Event

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Permit - Telepharmacy Site

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Louisiana Pharmacy Permit

Agency Fee:

$175

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Louisiana Pharmacy Permit

Agency Fee:

$125

Due:

Annually by December 31.

Fact Checked:4/5/19

Louisiana Pharmacy Technician Registration

Agency:Louisiana Board of Pharmacy
Fact Checked:4/3/19

Initial Registration

Form:

Application for New Pharmacy Technician Candidate Registration

Agency Fee:

$25

Fact Checked:4/5/19

Registration Renewal

Form:

Application for Renewal of Pharmacy Technician Certificate

Agency Fee:

$50

Due:

Annually by June 30.

Fact Checked:4/5/19

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