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c17 Continuing Education Reporting Form

Continuing Education Reporting Form

Please select the classes from which you would like to receive CEU credits.

Wednesday, February 22, 2017

3:00 - 4:30pm
.150 CEU's

Thursday, February 23, 2017

9:30 - 10:45am
.125 CEU's


11:00 - 12:15pm
.125 CEU's

2:15 - 3:30pm
.125 CEU's

4:00 - 5:15pm
.125 CEU's

Friday, February 24, 2017

9:30 - 10:45am
.125 CEU's

11:00 - 12:15pm
.125 CEU's

2:15 - 3:30pm
.125 CEU's

4:00 - 5:15pm
.125 CEU's

CEU Credit Type

(select all that apply)

Attendee Information

Practice Address:
City
State/Province
Zip/Postal