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 : Marijuana in Insurance
DOI ID	Name	Completion Date	Compliance Date
873075	Johnson, Nancy Lynn	12/08/2023	02/29/2024
1123094	Darnell, Annie Rose	03/18/2023	04/30/2023