2022 National Diamondback Pharmacy Alumni Council 52nd Annual Meeting and Continuing Education Program
Florida A&M University College of Pharmacy and Pharmaceutical Sciences
Continuing Education Attendance Form
Tallahassee, Florida

Reminder: If we do not receive all of the required information listed below, we will not
be able to issue your CE credit hours or submit them to CE Broker or CPE Monitor.

Email *
Name *
Full Address *
Daytime Phone Number *
DOB (MM/DD) *
NABP E-Profile# *
Florida License Number (General PS) *
Register for Continuing Education Program *
Required
 Saturday, June 25, 2022 - 2 Contact Hours *
Required
 Sunday, June 26, 2022 - 2 Contact Hours *
Required
Are you a FAMU COPPS Graduate? *
Required
Continuing Education Program Payment *
Submit
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