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DEA Form 104

DEA Form 104

This form is used to notify DEA that your drug registration will not be used in the future. 

File Name: Fillable DEA-104 Surrender Form.pdf
File Size: 106.65 KB
File Type: application/pdf
Hits: 7923 Hits
Created Date: 10-18-2010
Last Updated Date: 11-02-2012