DEPARTMENT OF INSURANCE
Course Attendance Information
PR00257: Great West Casualty Company
Experior Provider Number: S11905 
Provider Type: Company
Certification Date: 9/23/2002

Address: c/o RegEd Inc.
Attn: Lula Melisko
Morrisville, NC 27560
Contact: Lula Melisko
Telephone:
Status: Active
Termination Date: N/A
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Course Attendees
Course Name :  CTW 410 Workers Comp Riskd & Experience RatingsWEB
DOI IDNameCompletion Date Compliance Date
918515 Nickel, Dolly Sue 10/24/2023 05/31/2024
1006182 Geiger, Molly A 10/24/2023 07/31/2025
873389 Myers, William Zachary 05/02/2023 10/31/2023
1138443 Clark-Wise, Johnathan Raymond 11/08/2022 10/31/2023
653897 Hayes, Tammy Renee 05/03/2022 02/28/2023
576154 Shaw, Levi 05/03/2022 07/31/2024
335642 Bradley, Gena M 08/17/2021 07/31/2023
1116185 Austin, Justin Lee 08/17/2021 12/31/2023
652098 Moore, Amanda Dawn 04/20/2021 11/30/2021

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