Change Of Permit For Wholesaler {17A-52}

17A-52 - APPLICATION FOR CHANGE OF PERMIT APPLICATION Includes Resident and Nonresident: WHOLESALER VETERINARY FOOD ANIMAL DRUG RETAILER HYPODERMIC NEEDLES AND SYRINGE THIRD-PARTY LOGISTICS PROVIDER. This form is used by California pharmacy-related businesses to notify the State Board of Pharmacy about changes to their existing licenses. It covers updates like address changes, tradestyle or corporate name changes, modifications to ownership, management, or officers, and transfers of beneficial interest that do not involve a 50% or greater ownership change. The form also facilitates fingerprinting for background checks when adding new personnel to a license. The form must be submitted to the Board within 30 days when one of the following in Section A occurs within a license issued by the Board. www.FormsWorkflow.com