16th Annual Mid-Atlantic Ultrasound Symposium - Eastern Virginia ...

FACULTYEliza M. Berkley, MDAssociate Professor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VABonnie J. Dattel, MDProfessor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VAJena Miller, MDAssistant Professor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VAMargaret Mlynarczyk, MDFellow in Maternal-Fetal MedicineEastern Virginia Medical School, Norfolk, VALetty Romary, MDFellow in Maternal-Fetal MedicineEastern Virginia Medical School, Norfolk, VAKhaled Sakhel, MDAssociate Professor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VAElena S. Sinkovskaya, MD, PhDAssistant Professor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VAPeter Takacs, MDProfessor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VASteven L. Warsof, MDProfessor of Obstetrics and GynecologyEastern Virginia Medical School, Norfolk, VACOURSE DIRECTORAlfred Z. Abuhamad, MDMason C. Andrews Professor and ChairmanDepartment of Obstetrics and GynecologyVice Dean, Eastern Virginia Medical SchoolNorfolk, VAGUEST FACULTYBeryl R. Benacerraf, MDClinical Professor of Obstetrics and Gynecology and Reproductive BiologyClinical Professor of RadiologyHarvard Medical School, Boston, MALawrence D. Platt, MDProfessor of Obstetrics and GynecologyDavid Geffen School of MedicineUniversity of California at Los Angeles, Los Angeles, CAJames M. Shwayder, MD, JDProfessor of Obstetrics and GynecologyChairman, Department of Obstetrics andGynecologyUniversity of Mississippi, Jackson, MSRegistration16th Annual Mid-Atlantic Ultrasound Symposium in OB/GYN | November 8-9, 2013NAMEDEGREESPECIALTYCOURSE REGISTRATION FEEo $ 525.00 MDo $ 390.00 Sonographers /Allied Health Professionalso $ 95.00 All Residentso $ 20.00 Printed Course MaterialSOCIAL SECURITY NUMBER (Last 4 digits only)SONOGRAPHY REGISTRY NUMBERMAILING ADDRESSCITY / STATE / ZIPMEALSo I will require a vegetarian meal. (For other dietary restrictionscontact the CME office at 757-446-6140.)REGISTER ONLINERegister online at www.evms.edu/cme. Credit card only.REGISTER BY MAILMail your completed form and check payable to EVMS-CME to:EVMS-CME, 358 Mowbray Arch, Suite 207, Norfolk, VA 23507.EVMS-CME USE ONLYPHONEFAXCHECK #AMOUNT OF CHECKE-MAIL ADDRESS (For Electronic Confirmation)DATE ENTEREDCONFIRMATION