| Document Date: 2014-07-29 14:08:22
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Company Long Term Care Partnership / C.Workers' Comp / / Currency USD / / / Event FDA Phase / / IndustryTerm time management / insurance knowledge / internet banking procedure / insurance course / insurance principles / particular insurer / / Organization NH Insurance Department / CE Provider Organization / Higher Education Institution / / Person Joan LaCourse / / / Position Major / NH State Hours A. Producer / General / PRODUCER / Life Settlement Producer / / Product Provider / /
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NEW HAMPSHIRE CONTINUING EDUCATION COURSE APPLICATION Please clearly print or type information on this form. Thank you for helping us promptly process your application[removed]CEA1 Provider I