Section 2.02. Application procedure for original licensure.

 

(1)  Each applicant for original licensure as a pharmacist shall submit all of the following:

(a) Completed application form with the signature of the applicant.

(b) A statement from the dean of the school of pharmacy or the academic records office of the respective educational institution that the applicant has graduated from the pharmacy school.

(c) If the applicant intends to engage in a foreign graduate internship under s. Phar 17.04 , evidence satisfactory to the board that the applicant has obtained certification by the foreign pharmacy graduate examination committee and disclosure of the applicant's supervising pharmacist. Any change of a supervising pharmacist shall be disclosed to the board by filing an amendment to the application prior to further performing duties constituting the practice of pharmacy as a foreign graduate intern.

(d) Evidence of having completed an internship in the practice of pharmacy which shall consist of one or more of the following:

1. A statement from the dean of the school of pharmacy or the academic records office of the respective educational institution certifying the number of hours that the applicant has successfully completed in a practical experience program described in ch. Phar 17 .

2. A statement from a supervising pharmacist certifying the number of hours that the applicant was supervised by that supervising pharmacist in an internship in the practice of pharmacy described in ch. Phar 17 .

3. Verification of practical experience acquired by the applicant in another state as described in ch. Phar 17 , which is approved and verified by the board or by the agency which is the equivalent of the board in the state in which the practical experience was acquired.

(e) The fees required under s. 440.05 (1) , Stats.

(f) Evidence of having passed the NAPLEX.

(g) Evidence of having passed the multi-state pharmacy jurisprudence examination with Wisconsin as primary state.

(2)  Any change of name made prior to admission to examination shall be supported by an affidavit satisfactory to the board.