Farmacia......................................................

Adresa..........................................................

Localitatea....................................................

Farmacist ef................................................

ADEVERIN DE PRACTIC

Dl/D-na .........................................................................................................student/ n
anul....... la Universitatea de Medicin i Farmacie Gr. T. Popa Iai, Facultatea de
Farmacie, n cadrul seriei......, grupa......, i-a desfurat activitatea de practic farmaceutic n
perioada...................................................................... n cadrul
farmaciei........................................................................... acumulnd n total ..... zile de
activitate.

Activitatea s-a desfurat sub coordonarea i ndrumarea d-lui/d-nei farmacist

...................................................................... . La finalul perioadei de practic studentul/a
antemenionat/ a primit calificativul .......... .

Farmacist ef.................................................

Semntura.......................................................