UsernameYour real name (e.g., Joe Smith). You'll use this name to login.First NameLast NameEmailRetype EmailPasswordRetype Passworde-Profile IDNABP e-Profile IDMonth of BirthJanFebMarAprMayJunJulyAugSeptOctNovDecMonth you were born (Required by NABP)Day of Birth12345678910111213141516171819202122232425262728293031Day of the month your were born (Required by NABP)Technician? Check if you are a pharmacy technician