Illinois Department of Financial and Professional Regulation - Division of Professional Regulation - State Board of Pharmacy

Pharmacist Paper Application

$75

Online

$150

By March 31 of even-numbered years.

Pharmacy Paper Application

Mail or online.

$5

Online

$10

By March 31 of even-numbered years.

Pharmacy Paper Application

Mail to: 

Illinois Department of Financial and Professional Regulation
ATTN: Division of Professional Regulation
P.O. Box 7007
Springfield, Illinois 62791

Mail

$100

• Fill in every box on the application. Use N/A sparingly for "Not Applicable" or "Not Available". 

1. Register with the Illinois Secretary of State. 
2. Submit your application to the Board of Pharmacy 
3. After the application is reviewed, in-state pharmacies must be inspected and approved by a Department of Financial and Professional Regulation pharmacy investigator before a license will be issued.You will be contacted by the pharmacy investigator to arrange for inspection

• A list of the names, home addresses, and registered pharmacist numbers of all owners, partners, members, officers, directors, or shareholders owning 5% or more of the outstanding shares
• Certified copy of a Corporation's Articles of Incorporation or an LLCs Articles of Organization (applicable to corporations and LLC's only)
• A copy of your most recent annual report (applicable to partnerships, corporations, and LLC's)
• Certificate of Authority from the Illinois Secretary of State
  • Foreign entities with a pharmacy located inside Illinois must meet this requirement
• Partnerships, Corporations or LLCs Doing-Business-As (DBA) or operating under an Assumed Name must submit documentation of registering the name
• Pharmacies located outside of Illinois (non-resident) must submit
  • Certification of Licensure completed by the Pharmacy licensure authority in the state where the pharmacy is located (the name and address should match the name and address on your application)
  • A photocopy of the current pharmacy license and controlled substance license for the state where the pharmacy is located (the name and address should match the name and address on your application)
  • A photocopy of your current DEA registration (the name and address and drug schedules should match the name, address, and drug schedules on your application)
  • A photocopy of your most recent inspection report (the name and address should match the name and address on your application)
• Application for a License Under the Illinois Controlled Substances Act is required for all pharmacies dispensing controlled substances. 
  • Completion of this form is required by 720 of the Illinois Compiled Statutes. Disclosure of this information is "MANDATORY." However, failure to comply could result in a fine up to $30,000.
• Certification by Licensing Agency/ Board form 
  • Signed by the applicant's home state board of pharmacy
  • Form is sealed and submitted directly from the home state board to the Illinois Board of Pharmacy

Online

$200

By March 31 of even-numbered years.