Uploaded by Nazneen Ahmed

Ahmed, N. 19 hmu receipt

Registration Receipt
2019 Annual Clinical Challenges for Hospitalists, 5-9-2019, Baltimore, MD
Nazneen Ahmed (#147532), Active 3
Registration submitted on 04-07-2019 at 8:03 PM
Name: Nazneen Ahmed
Reference Number: 28533
Registration Type: General
Registration options for each person
Nazneen Ahmed ACOI Member $625.00
Total: $625.00
This registration has been fully paid by the following payments:
Paid by: mohammed rahman md
Amount: $625.00
Paid by: Visa
Card Number: XXXXXXXXXXXX4073
Name on card: mohammed rahman md
Billing address: 858 Woodland Hills
Billing zip code: 40831
Authorization Code: 00634C
Transaction ID: 61663599170
Date: 4/7/2019
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