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Georgia Professional Licensure Complaint Form

Pharmacy

Please use the following form to submit a complaint to the Georgia Professional Licensing Boards division.

Please be sure that your complaint pertains to one of the professions regulated by the Boards. To view a list of the board member, visit gbd.georgia.gov/board-members.

NOTE: All fields marked with astericks (*) are mandatory.


Complete Address (include street, city, state and zip)
Enter area code and phone number as 123-456-7890
Enter area code and phone number as 123-456-7890
Complete Address (include street, city, state and zip)
Enter area code and phone number as 123-456-7890
Please provide a detailed explanation of your complaint. Include names, addresses, dates, etc. regarding all parties involved.