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License to Engage in a Controlled Substance Activity (Class 10A - Exporter - Broker) (DOH-4330)

This license allows the holder to act as an exporter-broker of controlled substances.

AVERAGE PROCESSING TIME

30 Days

SEE DETAILS

	
		

Overview

To regulate the manufacture, distribution, and use of controlled substances (drugs) and devices. Persons conducting activities as exporter-broker of controlled substances within New York State are required to obtain a Class 10A from the Department of Health. A Class 10A is when there is no physical possession of controlled substances.

Prerequisites

1. Agency: State, Department of; Permit: Corporation, Certificate of Incorporation
2. Agency: Federal Drug Enforcement Agency; Permit: DEA License

Requirements

1. Plans, Always Required
2. Character References, Always Required
3. Inspection Report, Always Required
4. Specifications, Sometimes Required
5. Project Description, Sometimes Required
6. Personal Background Information, Always Required
7. Professional License, Always Required
8. Inspection, Always Required

How to Apply

1. See form below.

WHAT YOU NEED TO APPLY:

• License number
• Supervisor's professional license type and number
• Fees (variable)

Form(s)

Required Fees

TYPE REFUNDABLE AMOUNT COMMENTS
License/PermitYes$1200For two years. State, county, and municipal agencies are exempt from fees.

Payment Options:

Personal Check; Postal Money Order; Agency Account; Certified Check
Make payable to the NYS Department of Health

Duration & Processing


Common Denial Reasons: Insufficient information; Incorrect information; Incorrect fees; Criminal record

Additional Info

1. Permit applications can be rejected by the agency without being approved or disapproved
2. The agency has an appeal process for a denied application
3. Permit/License must be posted

For additional information/Sponsor Agency:

Health, Department of

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