Inline block: Submission #104
Submission information
Submission Number: 104
Submission ID: 27225
Submission UUID: 2941e69c-7326-4533-9b6a-9081558c2e14
Submission URI: /Travel-Disclosure
Created: Wed, 08/19/2026 - 08:49
Completed: Wed, 08/19/2026 - 08:49
Changed: Mon, 08/24/2026 - 10:08
Remote IP address: 140.186.146.249
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Travel
Submitted to: Inline block
Approved
Shane Wendel
Board of Pharmacy Board Member
Lodging
I certify the information provided in this travel disclosure form is true, correct, complete, and of my own personal knowledge. I further certify I am the public official named or the public official’s authorized representative and will fully cooperate in the process regarding the filing of this travel disclosure form.
Mark J Hardy
2026-08-19
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