PANL Forms 2019-20

To Fourth Year Students registering as Pharmacists

Please note that once you receive your PEBC results, you will require to fill out the 2019-20 Pharmacist Membership Form(New Pharmacist). If you have purchased Student Liability Insurance through PANL, you will require to upgrade to Professional Liability Coverage, using the 2019-20 Student Liability Insurance Upgrade from Student/Intern to Pharmacist prior to July 1, 2020.  If you have any questions or require further clarification, please contact the PANL office at email@panl.net or 709-753-7881.

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

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

Membership Application / Renewal 

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

2019-20 | Valid April 1, 2019-March 31, 2020