1-25-23 Webinar Wednesday CEU Form

Name
First Last
Street Address*
City*
State*
Zip*
Phone*
Email*
Profession Type*
License Number*
For pharmacists/pharmacy techs*
If you’d like your hours uploaded to CPE Monitor, please include your NABP number and DOB (mm/dd)
Did the speaker achieve the goals and objectives provided for this program?*
Will the information presented benefit you in your daily practice?*
Additional comments
Please share any additional information you’d like to share from your participation in this activity.

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