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 INTERNSHIP TRAINING AFFIDAVIT 2017

INTERNSHIP TRAINING AFFIDAVIT 2017

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Concurrent a maximum of 16 hours weekly can be gained while in a school from Non-Concurrent Training a maximum of 40 hours weekly can be gained while not in school school breaks vacation etc.. Type or print your name exactly as it appears on your application. Print this form and then for completion of Section II send this form to the Pharmacist Preceptor who supervised your internship. This certification must be submitted directly to the Michigan Board of Pharmacy by the Preceptor. Also...
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