DEPARTMENT OF INSURANCE
Course Attendance Information
PR00031: Modern Woodmen of America
Experior Provider Number: S11188 
Provider Type: Company
Certification Date: 5/9/1990

Address: 1701 - 1st Avenue
Rock Island, IL 61201
Contact: Alex Backes
Telephone: 309-786-6481 EXT. 5581
Status: Active
Termination Date: N/A
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Course Attendees
Course Name :  Career Training School
DOI IDNameCompletion Date Compliance Date
1206118 Hall, Preston Daniel 09/21/2023 07/31/2024
1165561 Jones, Austin M 10/20/2022 08/31/2023
1112727 Tackett, Timothy Scott 01/20/2022 12/31/2022
1086999 Roberts, Nathan 07/22/2021 02/28/2023
1110388 Chafin, John 07/22/2021 09/30/2023
635001 Varney, Stacey Pearl 07/22/2021 04/30/2022

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