DEPARTMENT OF INSURANCE

Course Attendance Information

PR01793: 5th Gear Enterprises, LLC
Experior Provider Number:	S15320
Provider Type:	Independent
Certification Date:	6/12/2018
Address:	22802 SW Forrest Creek Drive Suite 102 Sherwood, OR 97140
Contact:	Deborah Deragon
Telephone:	503-523-2339
Status:	Active
Termination Date:	N/A
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Course Attendees

Course Name : INSURANCE NEEDS OF WOMEN
DOI ID	Name	Completion Date	Compliance Date
1123094	Darnell, Annie Rose	03/22/2023	04/30/2023
357155	Sizemore, Marian Elizabeth	07/01/2022	11/30/2022
1029718	Preston, Blake	01/11/2022	10/31/2021
854532	Crenshaw, Joseph Nathaniel	06/11/2020	03/31/2022