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       COURSE ATTENDANCE VERIFICATION  
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      Participant's Name: Shella @ DWOW Team | 
  
      State and License #: NEG123 | 
  
      Participant AGD ID#: SML123 | 
  
      Course: Being Healthy | 
  
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       SPEAKERS: Dr. Ankur Gupta  | 
  
      Educational Method: Self StudyCE Hours: 1 | 
  
      Educational Type: Self Study | 
  
      Course Date: September 22, 2023 | 
  
      AGD Code:550 Practice Management and Human Resources | 
  
      Verification Code: L122 | 
  
      Authorized Signature: 
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       PARTICIPANTS: Please retain this document for your records. Continuing Education Credits issued may not apply towards license renewal in all states/provinces. It is the responsibility of each participant to verify the requirements of his/her state/provincial licensing board(s) and to self-report their continuing education hours earned.  | 
  
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       Keep this form for your records. 
        AGD Members: Delivering Wow will submit attendance verification to the AGD on your behalf.  | 
  
| [email protected] |