10204.1 License application forms may be obtained from the Department at 899 North Capitol Street, N.E., Washington, D.C., or online at www.hpla.doh.dc.gov.
10204.2 The application for licensure as a medical device distributor, manufacturer, initial importer, or vendor shall be signed and verified, and submitted on a license application form furnished by the Department.
10204.3If the legal entity is a proprietorship, partnership, corporation, or association, the application shall contain the following:
(a) The name and residence address of the applicant, and the date and place of incorporation (if applicable);(b) The name and address of the corporation's registered agent and corporation charter number, or if any other type of association;(c) The names of the principals of such association;(d) The name of the legal entity to be licensed, including the name under which the business is conducted;(e) The address of each place of business that is licensed;(f) If a proprietorship, the name and residence address of the proprietorship;(g) If a corporation, the date and place of incorporation and name and address of its registered agent in the state and corporation charter number; or(h) If any other type of association, the names of the principals of such association;(i) The name, residence address, and valid driver's license number of each individual in an actual administrative capacity which, in the case of proprietorship, shall be the managing proprietor; partnership, the managing partner; corporation, the officers and directors; or those in a managerial capacity in any other type of association; and(j) For each place of business, the residence address of the individual in charge;10204.4 A completed application shall entitle a medical device distributor, manufacturer, initial importer, or vendor to a license, except as provided in § 10207.
10204.5 The renewal application for licensure as a medical device distributor, manufacturer, initial importer, or vendor shall be made on a license application form furnished by the Department.
D.C. Mun. Regs. tit. 22, r. 22-B10204
Final Rulemaking published at 60 DCR 10252 (July 12, 2013); amended by Final Rulemaking published at 63 DCR 13491 (10/28/2016)Authority: Section 19(a)(3) of the District of Columbia Pharmacist and Pharmacy Regulation Act of 1980, effective September 16, 1980 (D.C. Law 3-98; D.C. Official Code § 47-2885.18(a)(3) (2005 Repl.)); Mayor's Order 98-48, dated April 15, 1998; Section 4902 of the Fiscal Year 2002 Budget Support Act of 2001, effective October 3, 2001 (D.C. Law 14-28; D.C. Official Code § 7-731 (2008 Repl.)); Section 15 of the District of Columbia Medical Device Manufacture and Distribution Licensure Act of 1990, effective June 13, 1990 (D.C. Law 8-137; D.C. Official Code § 48-714(a) (2005 Repl.)); and Mayor's Order 98-88, dated May 29, 1998.