rebecca.carlson@iowa.gov
6200 Park Ave., Ste. 100 Des Moines, IA 50321
515.725.3491
The Iowa Professional Health Program - Pharmacy is a confidential program of the Iowa Department of Inspection, Appeals, and Licensing (DIAL), administered by DIAL staff and the IPHP-Pharmacy committee. IPHP-Pharmacy was established to support and monitor pharmacy professionals who report difficulties with mental health, substance use or dependence, and/or physical disabilities. IPHP-Pharmacy is seeking applicants for consideration to serve on the committee. Appointments to the committeeare at the discretion of by the Iowa Board of Pharmacy. Pharmacy professionals are encouraged to apply. Members of the committee are encouraged to have knowledge in mental health, substance use and/or long term recovery. Interested applicants should submit the below application, resume, and letter of interest.
Full Name
Full Address
Birth Date
Issue Date
Expiration Date
Add Professional License
Have you ever been disciplined by any licensing authority, have any charges, or knowledge of any complaints or investigations, pending before any licensing authority, or have you ever been denied a license or registration by any licensing authority?
Upload your resume or CV and any documents that might be helpful, such as your references
Sign Here
