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Failure to complete registration accurately may affect professional credit reporting. To prevent issues, participants should complete registration thoroughly and accurately.
Please use this section to record professional licensure information that may be reported externally to professional boards. (example - Maintenance of Certification credit, ACPE credit, etc.)
These will be listed on your certificate at the end of your name. E.g.: Mary Smith, MD, MPH
Please select the broader organization you are affiliated with. You can begin typing to search the list or choose “Other” to enter your organization.
Start typing to select your clinic, practice, or building location. If you choose “Other,” a text box will appear so you can enter the information.