Voluntary Surrender Agreement Sample Contracts

AMENDMENT
Voluntary Surrender Agreement • March 29th, 2001 • K Tel International Inc • Phonograph records & prerecorded audio tapes & disks
AutoNDA by SimpleDocs
RECITALS:
Voluntary Surrender Agreement • December 7th, 2009 • Amish Naturals, Inc. • Miscellaneous food preparations & kindred products • Ohio
COMMONWEALTH OF MASSACHUSETTS
Voluntary Surrender Agreement • September 22nd, 2017

The Board of Registration in Pharmacy ("Board") and Steven L. Grossman, R.Ph. ("Registrant"), a pharmacist registered by the Board (Pharmacist Registration No. 18342) and owner and manager of record of J .E. Pierce Apothecary, Inc. (Pharmacy Registration No. 1297), located at 1180 Beacon St. in Brookline, Massachusetts ("Pharmacy"), do hereby stipulate and agree that the following information shall be entered into and become a permanent part of the file of Registrant which is maintained by the Board:

VOLUNTARY SURRENDER AGREEMENT
Voluntary Surrender Agreement • November 12th, 2020

The Board of Registration in Pharmacy ("Board") and Charles E. Sliwoski, Jr. (“Registrant”), a pharmacist registered by the Board (Pharmacist Registration No. 18064), do hereby stipulate and agree that the following information shall be entered into and become a permanent part of the file of Registrant that is maintained by the Board:

VOLUNTARY SURRENDER AGREEMENT
Voluntary Surrender Agreement • November 3rd, 2020

The Board of Registration in Pharmacy ("Board") and Joseph C. Ward, R.Ph. ("Registrant"), a pharmacist registered by the Board (Pharmacist Registration No. 15980) do hereby stipulate and agree that the following information shall be entered into and become a permanent part of the file of the Registrant which is maintained by the Board:

VOLUNTARY SURRENDER AGREEMENT
Voluntary Surrender Agreement • November 6th, 2020

The Board of Registration in Pharmacy (Board) and Michael D. Bendell, R.Ph. (Registrant), a pharmacist registered by the Board (Pharmacist Registration No. 21078), do hereby stipulate and agree that the following information shall be entered into and become a permanent part of the file of the Registrant which is maintained by the Board:

COMMONWEALTH OF MASSACHUSETTS
Voluntary Surrender Agreement • September 17th, 2020

The Massachusetts Board of Registration in Dentistry ("the Board") and Carole McAdam, ("Licensee"), License No. DH270 1 ("License"), hereby stipulate and agree the following information shall be entered into and become a permanent part of the Licensee's record maintained by the Board.

VOLUNTARY SURRENDER AGREEMENT
Voluntary Surrender Agreement • September 4th, 2009 • Nature Vision, Inc. • Photographic equipment & supplies • Minnesota

NOW, THEREFORE, in consideration of the foregoing, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:

Voluntary Surrender Agreement of a PBGV
Voluntary Surrender Agreement • January 14th, 2023

I, , am voluntarily surrendering my yr. old PBGV named . I state and submit that is healthy, with no immediate or underlying health conditions or current medical conditions, has no behavioral or aggression issues, and assert that he/she is a happy, friendly well behaved dog.

SUFFOLK COUNTY BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS In the Matter of Joseph J. Bartoszek, Jr., PA-C Docket No. PA-2011-001 License No. PA1347 (License Expiration Date 3/1/13) VOLUNTARY SURRENDER AGREEMENT
Voluntary Surrender Agreement • March 8th, 2022

The Board of Registration of Physician Assistants ("Board") and Joseph J. Bartoszek, Jr. (“Licensee”), a Physician Assistant licensed by the Board, License No. PA1347, do hereby stipulate and agree to enter into this Voluntary Surrender Agreement ("Agreement") in resolution of a complaint identified as Docket No. PA-2011-001 (“Complaint”). The complaint is based on the Licensee's disclosure on his 2011 license renewal application that his Connecticut Physician Assistant license had been disciplined in 2011 and on the information obtained by the Board during the Complaint investigation.

COMMONWEALTH OF MASSACHUSETTS
Voluntary Surrender Agreement • September 17th, 2020

The Massachusetts Board of Registration in Pharmacy ("Board") and registered pharmacist Robert Audet ("Registrant"), Registration No. PH 13088, do hereby stipulate and agree that the following .information shall be entered into and become a permanent part of the Registrant's record as maintained by the Board:

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!