Request For Live Scan Service (Board Of Pharmacy) {BCII 8016} | Pdf Fpdf Docx | California

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Request For Live Scan Service (Board Of Pharmacy) {BCII 8016} | Pdf Fpdf Docx | California

Last updated: 7/15/2019

Request For Live Scan Service (Board Of Pharmacy) {BCII 8016}

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Description

BCII 8016, REQUEST FOR LIVE SCAN SERVICE, NOTE TO LICENSEE and LIVE SCAN OPERATOR: The name, date of birth and US Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) must be entered in at the time of the Live Scan transmission in order for the results to be accepted by the Board of Pharmacy. If the name, date of birth or SSN or ITIN is not entered at the time of Live Scan transmission, the licensee may have to have a new Live Scan transmission completed. www.FormsWorkflow.com

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