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Member Information

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YYYY format


Education

Medical School

Please list as YYYY–YYYY

Dermatology Residency

Please list as YYYY–YYYY
Residency Director or Program Chair Please complete only if you are applying for Resident/Trainee membership

Other Specialty Training


Certification

List year certified.
List year certified.

Foreign Dermatology Board or Examination

Other Specialty Board


Membership Categories & Dues

Type 1-year membership 2-year membership 3-year membership
Free Free Free
$100.00 $150.00 $200.00
$200.00 $400.00 $600.00

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