Pdf fillable document to provide for the ability of a licensed Arizona podiatrist to dispense drugs/devices controlled within their possession, including DME, orthotics, topicals, etc.

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Initial Registration to Dispense Drugs and Devices Form

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License Renewal FAQ

Pdf fillable document to allow an applicant the ability to verify out-of-state podiatric licenses currently or previously held. Please note: each jurisdiction may require a nominal fee and that fee must be submitted along with this form.

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License Verification (for verifying out of state licenses)

Pdf fillable document to allow for an Arizona podiatrist to request new wall and wallet licenses due to a name change.

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Name Change Request

Pdf fillable document to allow for an Arizona podiatrist to request multiple licenses for multiple offices or replace a lost or misplaced license.

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Replacement / Duplicate License

Online form for a person applying for a license, to satisfactorily demonstrating that he/she is lawfully present in the United States.

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Statement of Citizenship