Pharmacist/Tech CE Form 12/2 Nebulizers Name First Last Phone*Email* License Numbers (RPT, PS, or PU)* NABP profile ID (N/A if you don't want hrs uploaded to CPE Monitor)* DOB (mm/dd)* Licensed in a state other than FL?*YesNoFriday AM sessions (3 hours)* PS PU Technician Friday PM sessions (3 hours)* PS PU Technician Street Address* City* State* Zip* Δ
