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Nevada State Board of Pharmacy
 
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Silver Source - Nevada's Citizen Connection (Forms Portal)

 

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This is not a verification tool.  If you need to verify a license, CLICK HERE
-OR- in the upper left corner of the homepage (Verify a License).  You will need a case # to use this screen.  If there is no case # on the verification form then there is no disciplinary history.

Please provide us with the following information so that we can provide you with the appropriate information.

 

 Individual        Business

        Licensee Name:

  First/Last  

-OR-

   
Business Name Business Address
     

License Number

 

*Case Number

 
 

     Requestor Name:

  *First/Last  

  *Address

 

*City

 

*State

    *Zip  

*Phone # 

  Area Code   Phone #    

FAX # 

  Area Code  Phone #   
     

*E-Mail

 
     

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 Last Updated: 12/18/07 08:59:44 AM  
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