COURSE ATTENDANCE VERIFICATION |
Participant's Name: Sahar Salem |
State and License #: H9267 |
Participant AGD ID#: 123456 |
Course: The Way We Have Always Done It |
SPEAKERS: Katrina Sanders |
Educational Method: Self StudyCE Hours: 1 |
Educational Type: Self Study |
Course Date: June 22, 2024 |
AGD Code:550 Practice Management and Human Relations |
Verification Code: HP129 |
Authorized Signature: |
PARTICIPANTS:
This activity has been planned and implemented in accordance with the standards |
Keep this form for your records.
AGD Members: Delivering Wow will submit attendance verification to the AGD on your behalf. |
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