COURSE ATTENDANCE VERIFICATION

Participant's Name: Tammy Anderson

State and License #: H8854

Participant AGD ID#: NA

Course: The Mouth Fertility Connection

SPEAKERS: Dr. Katie Lee

Educational Method: Self Study

CE Hours: 1

Educational Type: Self Study

Course Date: July 15, 2025

AGD Code:

490 Periodontics

Verification Code: DFX-KL2

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