Results 1 - 10 of 14
... IRS
Proof of MN Tax ID
As needed
Letter from the MN Department of Revenue
Non-Resident Medical Gas Dispenser
Item Needed
Certificate of Good Standing
Required for
All
List of Officers
List of ...
Date:
September
30, 2024
... IRS
Proof of MN Tax ID
As needed
Letter from the MN Department of Revenue
Category Form
All
Facility Renewal- Category Form
Non-Resident 3PL
Item Needed
Certificate of Good Standing
List of Officers
List of Shareholders, Members, or ...
Date:
September
03, 2024
... or explanation of exemption
Letter from the IRS
Letter from the MN Department of ... of Good Standing
Proof of DBA
List of Officers
List of ...
Date:
March
11, 2026
... of exemption.
All Letter from the IRS.
All Letter from the MN Department of ... of Good Standing
Proof of DBA
List of Officers
List of ...
Date:
March
10, 2026
... Board acknowledging that you are active and in good standing.
State One
State Two
State Three
Work History
Have you worked in the field of pharmacy during the last two years? If yes, have your most recent employer send us a
letter confirming the dates of your employment.
Yes No
...
Date:
July
02, 2024
... Board acknowledging that you are active and in good standing.
State One
State Two
State Three
Work History
Have you worked in the field of pharmacy during the last two years? If yes, have your most recent employer send us
a letter confirming the dates of your employment.
Yes No
...
Date:
November
23, 2021
... Board acknowledging that you are active and in good standing.
State One
State Two
State Three
Work History
Have you worked in the field of pharmacy during the last two years? If yes, have your most recent employer send us
a letter confirming the dates of your employment.
Yes No
...
Date:
November
23, 2021
... certificate.
o
NON-RESIDENT:
Submit a current Certificate of Good Standing issued by the state in which the facility ... 24 months.
o
RESIDENT:
Submit a current Certificate of Good Standing from the Minnesota Secretary of State.
Organizational Chart.
...
Date:
November
17, 2025
... State - NON-RESIDENT ONLY.
Submit a current Certificate of Good Standing issued by the state in
which the facility ... of State - RESIDENT ONLY.
Submit a current Certificate of Good Standing from the
Minnesota Secretary of State. For resident ...
Date:
November
17, 2025
... zip code along with their
ownership percentage.
Certificate of Good Standing
from the state where the facility is located, obtained within the last 24 months.
If you are self-insured
and reside in the State of Minnesota, attach a copy of the Certificate of ...
Date:
November
12, 2025