Limited License (LTD)
The "Limited License" is issued to a nonprofit humane society and a government-operated animal control agency. It permits the society or agency to obtain a registration with the Drug Enforcement Administration to obtain sodium pentobarbital, alone or in combination with other non-controlled substances, to euthanize injured, sick, homeless or unwanted pets and animals.
- Limited
License (LTD) Application *
Use this form for new applications and changes to existing registrations - Reinstatement Application
Use this form if your business registration has lapsed
* NOTE: You must use the same application for new registrations and changes to existing registrations (i.e. transfer of ownership, business location or name change, or change of designated representative / consultant pharmacist / pharmacist manager).
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Prescription Drug Outlet - Pharmacy || Non-Resident (Out-of-State) Prescription Drug Outlet - Pharmacy
Wholesale Distributors of Prescription Drugs || In-State Manufacturers of Prescription Drugs
Other Outlet || Limited License
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