4729-5-05 Change of name of registrant.

(A) A pharmacist or pharmacy intern, who has a legal change of name, shall report the change to the board of pharmacy within sixty days from the effective date of such change. Such notification of a name change shall be accompanied by one of the following:

(1) A notarized affidavit;

(2) A certified copy of a court record;

(3) A certified copy of a marriage certificate.

(B) Requests for duplicate certificate of registration and/or an identification card, to be issued in the new name, shall be accompanied by the following:

(1) The certificate of registration and/or identification card issued in the original name; and

(2) The required fee.

Upon receipt of the required documents, the board will forward the duplicate certificate of registration and/or identification card issued in the new name.

R.C. 119.032 review dates: 11/22/2011 and 11/15/2016
Promulgated Under: 119.03
Statutory Authority: 4729.26
Rule Amplifies: 4729.12
Prior Effective Dates: 9/10/76, 3/21/88, 7/1/93