W. Va. Code R. § 14-9-3 - Application

3.1. The licensee shall submit the Board's prescribed certificate application form to the Board;
3.2. The licensee shall attach a copy of his or license and each physical address from which the optometrist intends to dispense contact lenses that contain and deliver pharmaceutical agents; and
3.3. Shall pay the fee listed in the Board's rule, Schedule of Fees, W. Va. Code of State Rules, §14CSR5.

Notes

W. Va. Code R. § 14-9-3

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