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Registered Pharmacy Technician Reinstatement Application

Please do not use the back button of your browser while you are in the form. If at any time you wish to exit the form, please click the "Exit" button located at the bottom of the page.

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Please login below to access the online renewal form. Remember to prefix your License Number with PT or NT. Do not add a space between the prefix and the number.




Page Updated: 11/14/2018 5:07:50 PM