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Northern ILAGD Presents:

October 7, 2022 @ 8:00 am - 5:00 pm

Northern Illinois Academy of General Dentistry

Presents:

TBA

Zoom Virtual Meeting/Webinar

Featuring:

Speaker Bio:

Course Information:

Course Objectives:

CE Credit:

6 hours of lecture credit may be used towards FAGD, MAGD or re-licensure for dentists and hygienists.

 When:

Friday, April 9, 2021
9:00—12:00 Lecture
12:00—12:30 Lunch
12:30—3:30 Lecture

 Price:

Return the completed form with your check payable to Northern Illinois Academy of General Dentistry to :
Stephen Petras, DMD, MAGD, FICOI
120 W. Front Avenue
Stockton, IL 61085
Phone: (815) 947-3700
Fax: (815) 947-9058
[email protected]

REGISTRATION FORM:                  

                                                                         AGD Member                                Non-AGD Member

Dentist or first person-                                                                $.00                                          $.00
From office:
First additional staff/Hygienist                                                     $.00

Each additional staff member                                                     $.00

Total Number Attending ___________________
Amount Enclosed _________________________

Total number of vegetarian lunches required_____
Signature ________________________________
Please Print:
Name: ______________________________________
AGD No. _______________________________
Name: ______________________________________
AGD No. _______________________________
Address: _____________________________
City, State, Zip: _______________________________
Office Phone: _________________________________
Fax No: _____________________________________
E-Mail Address: ______________________________

To pay with credit card contact Jamie Petras, NIAGD Executive Secretary at 815-541-3795 or [email protected]
Refund Policy: Full tuition refund is available without penalty up to one week prior to scheduled course.

For information contact:
Stephen Petras, DMD,MAGD, FICOI
Phone: (815) 947-3700
Fax: (815) 947-9058
E-mail: [email protected] OR [email protected]
________________________________________
ACKNOWLEDGEMENT
Presenting a program of this nature is a group effort, and would not be possible without the assistance of many individuals and companies. A complete listing of contributing companies will be available at the program site.


 

 

 

 


Details

Date:
October 7, 2022
Time:
8:00 am - 5:00 pm
Event Category:

Organizer

Dr. Stephen Petras
Phone:
815-947-3700

Other

Type of Event
Lecture

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