PANL Forms
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. If you have any questions or require further clarification, please contact the PANL office at email@panl.net or 709-753-7881.
Insurance - Policy Begins July 1, 2019 - July 1, 2020
Please ensure you submit the correct form. A $25.00 processing fee will be charged for refunds.
2019-2020
Membership Application / Renewal
Please ensure you submit the correct form. A $25.00 processing fee will be charged for refunds.
2019-20 | Valid April 1, 2019-March 31, 2020