[Histonet] jcoleman IHCRG Membership Application Form

Patsy Ruegg pruegg <@t> ihctech.net
Mon Aug 4 17:43:47 CDT 2008


Verify NSH membership please

 

 

Patsy Ruegg, HT(ASCP)QIHC

IHCtech

12635 Montview Blvd. #215

Aurora, CO 80045

720-859-4060

fax 720-859-4110

pruegg <@t> ihctech.net

www.ihctech.net <http://www.ihctech.net/> 

www.ihcrg.org    

 

 

  _____  

From: webmaster <@t> neo.agsci.colostate.edu
[mailto:webmaster <@t> neo.agsci.colostate.edu] 
Sent: Monday, August 04, 2008 2:45 PM
To: patsy.ruegg <@t> gmail.com
Subject: IHCRG Membership Application Form

 

  _____  

New_Application: Yes
Last_Name: Coleman
First_Name: John
NSH_Member: Yes
Employer: Sentara Healthcare
Address: 600 Gresham Drive
City: Norfolk 
State: VA
Zip: 23507
Province: 
Country: USA
Phone: (757) 335-2159
Ext: 
Fax: (757) 388- 3799
Email: jpcolema <@t> sentara.com
Surgical_Pathology: Yes
Hematopathology: Yes
Orthopedic: 
Veterinary: 
Immunology: 
Plastics: 
Research: GU
Paraffin: Yes
Frozen: Yes
Cytospins: 
Smears_Touch_Preps: Yes
Plastics_Sample: 
Sample_Other: 
PAP: 
APAAP: 
ABC_HRP: 
ABC_AP: 
SA_HRP: Yes
SA_AP: Yes
IF: Yes
IHC_Other: 
ISH: Yes
Gels: 
PCR: 
Mol_Other: 
Automated_IHC: Yes
Company: Biogenex
IHC_Qualification: Yes
Date_Taken_Exam: 1997?
Like_To_Take_Exam: No
Expected_Date: 
Can_Provide_Tissues: Yes
Tissues_Provided: Pneumocystis carinii, Hepatitis C, many others
Need_Tissues: No
Tissue_Needed: 
Remote Name: 163.230.7.6
HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1;
.NET CLR 1.1.4322)
Date: 08/04/2008
Time: 02:44 PM


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