Inline block: Submission #172
Submission information
Submission Number: 172
Submission ID: 27455
Submission UUID: 4bb74647-ec21-460a-9501-3ea8ef142369
Submission URI: /Travel-Disclosure
Created: Mon, 09/21/2026 - 10:18
Completed: Mon, 09/21/2026 - 10:18
Changed: Mon, 09/21/2026 - 15:06
Remote IP address: 140.186.146.249
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Travel
Submitted to: Inline block
Approved
Tyler Lannoye
Board of Pharmacy Board Member
Ground Transportation
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
2026-09-21
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