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2007 Laws of Maryland
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Ch. 352
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(IV) IF A SOLE PROPRIETORSHIP, THE FULL NAME OF THE
SOLE PROPRIETOR AND THE NAME OF THE SOLE PROPRIETOR'S BUSINESS
ENTITY;
(6) A LIST OF ALL LICENSES AND PERMITS ISSUED TO THE
APPLICANT BY ANY OTHER STATE THAT AUTHORIZES THE APPLICANT TO
PURCHASE OR POSSESS PRESCRIPTION DRUGS;
(7) FOR THE DESIGNATED REPRESENTATIVE AND THE
IMMEDIATE SUPERVISOR OF THE DESIGNATED REPRESENTATIVE AT THE
APPLICANT'S PLACE OF BUSINESS:
(I) FINGERPRINTS NECESSARY TO CONDUCT A CRIMINAL
HISTORY RECORDS CHECK; AND
(II) THE FOLLOWING:
1. NAME;
2. PLACES OF RESIDENCE FOR THE PAST 7 YEARS;
3. DATE AND PLACE OF BIRTH;
4. THE NAME AND ADDRESS OF EACH BUSINESS
WHERE THE INDIVIDUAL WAS EMPLOYED DURING THE PAST 7 YEARS, AND THE
INDIVIDUAL'S JOB TITLE OR OFFICE HELD AT EACH BUSINESS;
5. A STATEMENT OF WHETHER, DURING THE PAST 7
YEARS, THE INDIVIDUAL HAS BEEN THE SUBJECT OF ANY PROCEEDING FOR THE
REVOCATION OF ANY PROFESSIONAL OR BUSINESS LICENSE OR ANY CRIMINAL
VIOLATION AND, IF SO, THE NATURE AND DISPOSITION OF THE PROCEEDING;
6. A STATEMENT OF WHETHER, DURING THE PAST 7
YEARS, THE INDIVIDUAL HAS BEEN ENJOINED, EITHER TEMPORARILY OR
PERMANENTLY, BY A COURT OF COMPETENT JURISDICTION FROM VIOLATING
ANY FEDERAL OR STATE LAW REGULATING THE POSSESSION, CONTROL, OR
DISTRIBUTION OF PRESCRIPTION DRUGS, TOGETHER WITH DETAILS
CONCERNING THE EVENT;
7. A DESCRIPTION OF ANY INVOLVEMENT,
INCLUDING ANY INVESTMENTS OTHER THAN THE OWNERSHIP OF STOCK IN A
PUBLICLY TRADED COMPANY OR MUTUAL FUND, BY THE INDIVIDUAL DURING
THE PAST 7 YEARS WITH ANY BUSINESS THAT MANUFACTURES, ADMINISTERS,
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- 2224 -
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