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Get Guest Artist Registration For A Continuing Education Program - Dhhs Ne

TION FOR A CONTINUING EDUCATION PROGRAM (Presenter of a Continuing Education Class) Print or Type FEE: $30.00 (Make payable to the Licensure Unit) SECTION A - PERSONAL INFORMATION (All applicants must complete this section) This section is public information and will be displayed on the INTERNET (http://www.nebraska.gov/LISSearch/search.cgi) First Middle Last 1. Name: Street/PO/Route 2. Street Address: City State Zip City/State/Zip: 3. Telephone #: (Optional) 4. Current License as a Cosmet.

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