Get Ia Pharmacist Licensure By Score Transfer Application 2019

This guide provides a step-by-step approach to completing the IA Pharmacist Licensure By Score Transfer Application online. Follow these instructions carefully to ensure that your application is accurate and complete.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the IA Pharmacist Licensure By Score Transfer Application and open it.
2. Enter your licensee information. Complete fields for your full legal name, date of birth, social security number, and NABP e-profile ID. Ensure the accuracy of all information provided.
3. Fill in your primary address, including street address, city, state, county, and zip code. Provide a valid email address and telephone number, specifying if it is a home or mobile number.
4. If your mailing address differs from your primary address, input the alternate mailing address. Include relevant details such as the street address and zip code.
5. Provide details regarding your college of pharmacy education. Include the name of the college, degree received, and date received.
6. Document your internship experience. Fill in the pharmacy name, address, license number, total hours completed, and dates of the internship.
7. List your current employment status, including pharmacy details or indicate if you are engaged in other activities.
8. Declare your license information, including all states where you practice pharmacy. Provide the license numbers, issue dates, and expiration dates.
9. Answer questions regarding criminal history and disciplinary history. Respond honestly, as these answers are vital for your application.
10. Document any medical conditions. Answer truthfully, and if applicable, provide additional explanations on a separate sheet.
11. Review your application thoroughly to ensure all sections are complete. Any omission or incomplete fields may delay processing.
12. Sign and date your application, affirming the truthfulness of the information provided.
13. Submit your completed application with all required attachments to the Iowa Board of Pharmacy, along with the appropriate fees. Make sure to follow up with a payment method.

Get started today and complete your application online!