Primary Care Update 2022
Hyatt Regency Coconut Point Resort & Spa
January 13-15, 2022

Email Address

Verify Email Address

First Name

Last Name

Degree

Address Line 1

Address Line 2

City

US State

Province (Non-US)

Zip (Postal Code)

Country

Phone

How Did You Learn About ULS?

Please provide the name of the ULS customer who referred you.

Employer

Please do not leave blank. If not applicable, please advise as N/A.

For Pharmacy Professionals Only: NABP eProfile ID Number

Date of Birth

42477286 month mm

42477286 day dd

42477286 year yyyy

(Used as an identifier for eReporting of pharmacy professional's Continuing Education credit).

CE Broker Participants: If your state participates in CE Broker and you would like credits reported, please provide us with your License #.

Promo Code

discountcode

Attendee Category

Course Registration

* = Required Field

University Learning Systems

1-800-940-5860

info@universitylearning.com