COURSE ATTENDANCE VERIFICATION

Participant's Name: Kiron James

State and License #: Na

Participant AGD ID#: Na

Course: Periodontal Classification Series Part 1 – Periodontal Classifications Overview and The Stable Periodontium

SPEAKERS: Katrina Sanders

Educational Method: Self Study

CE Hours: 1

Educational Type: Self Study

Course Date: November 24, 2025

AGD Code:

490 Periodontics

Verification Code: DFX-KS1

Authorized Signature:

PARTICIPANTS:

Please retain this document for your records. Continuing Education Credits issued
may not apply towards license renewal in all states/provinces. It is the responsibility
of each participant to verify the requirements of his/her state/provincial licensing board(s)
and to self-report their continuing education hours earned.

Keep this form for your records.

AGD Members: Dentalflix will submit attendance verification to the AGD on your behalf.
Please allow at least 30 days for documentation of participation to be added to your transcript