PANL Membership Forms 2022-23

To Fourth Year Students registering as Pharmacists

Please note that once you receive your PEBC results, you will require to fill out the 2022-23 Pharmacist Membership Form. If you have purchased 2022-2023 Student Liability Insurance through PANL, you will require to upgrade to Professional Liability Coverage, using the 2022-23 Student Liability Insurance Upgrade from Student/Intern to Pharmacist 

If you are registering as an Intern  please complete the regular 2022-2023 Pharmacist/Intern Membership stating 'Intern' in the license number section. Once completed you can avail of the Student/Intern Liability Insurance.

If you have any questions or require further clarification, please contact the PANL office at or 709-753-7881.

Membership Application / Renewal 

Please ensure you submit the correct form.  A $15.00 processing fee will be charged for refunds. 

2022-23 Licensing

Valid April 1, 2022-March 31, 2023