016 Pharmacotherapeutics (Basic Science)

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1 560 W. Lake St., Sixth Floor Chicago, Illinois (888) AGD-DENT Fax: (312) Continuing Education Transcript Member # Student Member Since: ChauLong T. Nguyen, DDS, MAGD 724 Oak Grove Ave Ste 120 Menlo Park, CA Active Member Since: 05/01/2000 Active CE Start Date: 05/01/2000 Status: MAGD Passed Exam: 08/19/2002 Current LLSR Start Date: 01/01/2010 PostGrad Work: 1 year Residency Date of Activity Program ID# 02/14/ /17/ /12/ /02/ /25/ /25/ /06/ /13/ Subject / Discipline Provider Organization Code Description Name San Francisco San Francisco San Francisco San Francisco San Francisco San Francisco Accelerated Delivery Mode Verify Code Approved Hours Maint Hrs. 142 Emergency Training/CPR Participation Trauma Management Participation Operative Lecture Periodontics Lecture Esthetics/Cosmetic 016 Pharmacotherapeutics (Basic Science) Lecture VOF Lecture VOF Operative Participation Pharmacotherapeutics Lecture

2 10/20/ Endodontics Lecture Learning Ctr 10/20/ /11/ /04/ /30/ /06/ /15/ /16/ /11/ /11/ /11/ /26/ /21/ /21/ /21/ Schoeffel, G John Seattle Institute for Advanced Ed San Francisco Seattle Institute for Advanced Ed Medico Study Guild 070 Endodontics Participation.00 P Esthetics Participation Spear Institute 735 (formerly Seattle Instit Seattle Institute for Advanced Ed Seattle Institute for Advanced Ed Lares Research, Louisiana State Den Louisiana State Den Louisiana State Den Louisiana State Oral and Maxillofacial Surgery Myofascial Pain Dysfunction/Occlusion Participation Participation s Participation.00 P Esthetics Participation Jurisprudence Lecture Treatment Planning/Oral Medicine, Diagnosis, Patho Participation Prosthodontics-Removable Participation s Participation Laser Therapy / Electosurgery Lecture.00 P Ceramic Restorations Lecture Esthetics Lecture Tooth-Colored Restorations Lecture

3 06/21/ Den 06/21/ /21/ /21/ /22/ /22/ /22/ /22/ /28/ /30/ /26/ /11/ /21/ /06/ Louisiana State Den Louisiana State Den Louisiana State Den Louisiana State Den Louisiana State Den Louisiana State Den Louisiana State Den Patterson Supply, San Francisco LDS CAESY, A Patterson Company Seattle Institute for Advanced Ed Seattle 490 Periodontics Lecture Occlusal Management Lecture Ceramic Restorations Lecture Esthetics Lecture Ceramic Restorations Lecture Esthetics Lecture Ceramic Restorations Lecture Esthetics Lecture Ceramic Restorations Participation Post Grad Education 855 FAGD Exam Study Guide 135 Laser Therapy / Electosurgery One year Postgrad FAGD Study Guide Participation Practice Management Lecture Materials Lecture

4 12/07/ Institute for Advanced Ed 03/14/ /15/ /20/ /20/ /20/ /08/ /25/ /16/ /04/ /05/ /16/ /12/ /12/ /01/ /08/ /11/ Materials Lecture Study Group 780 Esthetics Participation of NY Fishbein, Myron CRA Foundation CRA Foundation CRA Foundation Midwest Institute Mid Peninsula Society Mid Peninsula Society New York College of New York College of Mid Peninsula Society New York College of Stanford - CA New York College of 612 Ceramic Restorations Participation.00 P Practice Management Participation Materials Lecture Infection Control Lecture Operative Participation.00 P Emergency Training/CPR Participation Surgical Phase Therapy Participation Orthodontics Participation Orthodontics Participation Infection Control Participation Infection Control Participation Table Clinics Lecture Orthodontics Participation /21/ Pro-ec 495 Communicating Case Presentations Participation.00 P Orthodontics Participation Non-Surgical Therapeutic Management Lecture /12/ Emergency Training/CPR Lecture.00 U 8.00

5 09/01/ /12/ /12/ /21/ /21/ /04/ /21/ /24/ /15/ /12/ /31/ /23/ /13/ /26/ /26/ /05/ /10/ /11/ Texas MD Anderson Medical Nevada Grant County Society-WA 142 Emergency Training/CPR Lecture Operative Lecture Pharmacotherapeutics Participation P Pharmacotherapeutics Lecture Basic Science Lecture Perio 490 Periodontics Participation Institute, 130 Electives Therapeutics and Stoma Unknown Provider Medical Protective Company Education Laboratory Peninsula Society Practical Clinical Courses Practical Clinical Courses Peninsula Society Patterson Supply, Orthodontics Lecture.00 P Physical Evaluation Lecture Jurisprudence Lecture Emergency Training/CPR Lecture Non-Surgical Endodontics Participation Emergency Training/CPR Participation s 690 s Operative Lecture Electives Lecture Operative Lecture

6 03/12/ /29/ /23/ /06/ /22/ /21/ /15/ /15/ /16/ /05/ /05/ /07/ Therapeutics and Stoma 311 Exodontia Redwoods Group Training Center The Compliance Group Geneva Institute (CDA) (CDA) Colorado ist Colorado ist vof Special Patient Care Lecture vof s Participation vof Pediatric Lecture vof Practice Act Lecture vof.00 P Complete ures Participation Myofascial Pain Dysfunction/Occlusion Lecture VOF Periodontics Lecture VOF Esthetics Lecture VOF Prosthodontics - Fixed 550 Practice Management Esthetics Participation /28/ IDEA 490 Periodontics Participation vof /04/ /04/ /16/ /05/ /17/ /20/ Nobel Biocare Nobel Biocare Straumann USA 691 Surgical Phase Therapy Participation VOF Reconstructive Phase Therapy Participation VOF s Participation Esthetics Therapeutics and Stoma 730 Oral Medicine, Oral Diagnosis vof AGD- 492 Soft Tissue Surgery Participation

7 01/21/ AGD- 780 Esthetics Lecture /02/ PESI, LLC 555 Jurisprudence Lecture vof /24/ /27/ /27/ /27/ /27/ /28/ /28/ /31/ /31/ /31/ /14/ /20/ /20/ /28/ /02/ Tufts Medici 610 Prosthodontics - Fixed Texas Health 671 Complete ures Science Cente 132 Anesthesia and Pain Control 250 Operative 730 Oral Medicine, Oral Diagnosis Texas Health 671 Complete ures Science Cente Texas Health 671 Complete ures Science Cente School School Massad Learning Center Massad Learning Center San Francisco KOIS Center (Formerly CRE, ) 180 Myofascial Pain Dysfunction/Occlusion 610 Prosthodontics - Fixed 130 Electives vof % % 5.50 Y % vof VOF VOF.00 P s Participation VOF Complete ures Participation vof Complete ures Lecture vof for the Medically Compromised Lecture VOF Occlusal Management Lecture

8 06/02/ /22/ /22/ /02/ /02/ /02/ /19/ /20/ /20/ /20/ /20/ /29/ /30/ /30/ /01/ /01/ /04/ /04/ /04/ /07/ /05/ /05/ /05/ KOIS Center (Formerly CRE, ) Geneva Institute Geneva Institute GC America, GC America, GC America, GC America, GC America, GC America, GC America, GC America, GC America, GC America, Gregory Sawyer GC America, GC America, GC America, Mid Peninsula 183 Occlusal Management Participation Complete ures Participation VOF Partial ures Participation VOF Geriatric 672 Partial ures Oral Medicine, Oral Diagnosis Management of Child Patient 258 Caries Prevention 258 Caries Prevention 258 Caries Prevention 780 Esthetics 730 Oral Medicine, Oral Diagnosis 017 Materials 730 Oral Medicine, Oral Diagnosis 258 Caries Prevention 258 Caries Prevention 434 Management of Child Patient 312 Orthognathic Surgery 434 Management of Child Patient 191/ / / vof vof vof 1.00 Y 1.00 vof 1.00 Y 1.00 vof / / / VOF SS Y 1.00 VOF SS Y 1.00 VOF MC Y 1.00 vof VOF MC Caries Prevention Participation vof.00 P Management of Child Patient Management of Child Patient Management of Child Patient vof vof 1.00 Y 1.00 vof 1.00 Y 1.00

9 09/10/ Society 142 Emergency Training/CPR Participation VOF.00 P /14/ /22/ /26/ /27/ /28/ /28/ /29/ /29/ /30/ /26/ /01/ /01/ /01/ /14/ /14/ Practical Clinical Courses Lares Research, Mid Peninsula Society Seattle Institute for Advanced Ed Seattle Institute for Advanced Ed 183 Occlusal Management Participation VOF Non-Surgical Endodontics Participation vof Laser Therapy / Electosurgery Lecture VOF.00 P Sports Lecture Practice Management Lecture s Lecture Pediatric Lecture Oral and Maxillofacial Surgery Participation Esthetics Participation Tooth-Colored Restorations 739 Oral Pathology 730 Oral Medicine, Oral Diagnosis 070 Endodontics Participation VOF.00 P / / / Operative Participation VOF Operative Lecture VOF

10 11/19/ Special Patient Care 100% /19/ /08/ /05/ /23/ /23/ /25/ /25/ /29/ /29/ /01/ /01/ /08/ /14/ /15/ /29/ /30/ Straumann USA, Nobel Biocare Nobel Biocare Southern USC Southern USC Southern USC Southern USC Southern USC Practical Clinical 730 Oral Medicine, Oral Diagnosis 87% Pre-Prosthetic Surgery Participation VOF Oral Medicine, Oral Diagnosis 100% Surgical Phase Therapy Participation VOF Reconstructive Phase Therapy 017 Materials 310 Oral and Maxillofacial Surgery Participation VOF % % Electives Lecture VOF Treatment Planning Lecture VOF Jurisprudence Lecture VOF Infection Control Lecture VOF Esthetics/Cosmetic Lecture vof Prosthodontics - Fixed Lecture vof Esthetics/Cosmetic Participation vof Pre-Prosthetic Surgery Participation VOF Pre-Prosthetic Surgery Participation VOF

11 04/04/ Courses- Gordon J. Chr 05/07/ /17/ /17/ /30/ /30/ /30/ /30/ /14/ /29/ /12/ /12/ /13/ /05/ /08/ /08/ Henry Spenadel Continuing Ed Program of Southern USC Southern USC Henry Spenadel Continuing Ed Program of 253 Porcelain Veneers Participation VOF Endodontics Participation VOF Basic Science Participation VOF Anatomy Lecture vof Esthetics 016 Pharmacotherapeutics 017 Materials 670 Prosthodontics-Removable Ceramic Restorations Lecture vof Ceramic Restorations Participation vof Pharmacotherapeutics Lecture VOF Psychosocial, Anxiety & Fear in Lecture vof Multi-Disciplinary Topics Lecture VOF Oral and Maxillofacial Surgery Participation VOF- J Education 074 Non-Surgical Endodontics Participation VOF Laboratories Education 074 Non-Surgical Endodontics Lecture VOF Laboratories

12 11/10/ /10/ /10/ /15/ /15/ /20/ /21/ /21/ /08/ /08/ /08/ /18/ /22/ /23/ /13/ /16/ /19/ Southern USC Southern USC Southern USC Pediatric Pediatric Patterson 735 Treatment Planning 610 Prosthodontics - Fixed 070 Endodontics Psychosocial, Anxiety & Fear in Psychosocial, Anxiety & Fear in DART/ DART/ DART/ Participation Lecture Electives Lecture Practice Act Lecture Infectious Disease Lecture Materials 731 Digital Radiology 250 Operative (Restorative) DART/ DART/ DART/ Physical Evaluation Lecture Management of Child Patient 435 Space Management/Appliances Participation Lecture Digital Radiology Participation VOF Digital Radiology Lecture VOF Hospital (Special Patient Care) Lecture VOF

13 07/29/ /25/ /11/ /13/ /25/ /01/ /01/ /01/ /02/ /03/ /23/ /29/ /29/ /05/ Henry Spenadel Continuing Ed Program of Unknown Provider Heart (AHA) Mid Peninsula Society Porcelain Fused to Metal Restorations Medical Emergency Training and CPR Hospital (Special Patient Care) Lecture VOF Participation P 3.00 Lecture VOF Pediatric Participation Medical Emergency Training and CPR Participation VOF Pediatric Participation A Improvement Lecture Behavior Management (Pediatric ) Lecture A Cancer Screening (Oral Medicine, Diagnosis, Path) Lecture A Biopsy/Excision of Oral Participation Lesions/Oral Med, Diag, Pa A Hospital (Special Patient Care) Hospital (Special Patient Care) Hospital (Special Patient Care) Infectious Disease Materials (Basic Lecture VOF Lecture VOF Participation VOF Lecture VOF.00 P 3.00

14 11/14/ San Francisco 017 Science) Participation /04/ /04/ /11/ /12/ /13/ /13/ /13/ /27/ /08/ /18/ /09/ /09/ /12/ /24/ /21/ Southern USC Southern USC Patterson Sydney Library Henry Spenadel Continuing Ed Program of Direct LLC San Francisco Hawaii (HIDA) Hawaii Clinical Diagnosis/Oral Medicine, Diagnosis, Patho Lecture Treatment Planning/Oral Medicine, Diagnosis, Patho Lecture Digital/Video Imaging (Practice Management) Operative (Restorative) Practice Act/Practice Management Infectious Disease Lecture VOF Lecture VOF Lecture VOF Lecture VOF Table Clinics Lecture VOF Endodontics Lecture VOF Microbiology (Basic Science) Soft Tissue Surgery (Periodontics) Computer designed/fabricated crowns (Prosth/Fixed) Computer designed/fabricated crowns (Prosth/Fixed) Lecture VOF.00 P 8.00 Participation VOF Participation VOF Lecture VOF s Lecture VOF Multi-Disciplinary Topics Lecture VOF Pediatric Lecture VOF

15 01/21/ (HIDA) 03/04/ /04/ /05/ /18/ /18/ /25/ /25/ /14/ /23/ /23/ /28/ /16/ /16/ /24/ Candulor USA (formally Geneva Ins Candulor USA (formally Geneva Ins Mid Peninsula Society 770 -Improvement Lecture VOF Endodontics Lecture VOF Endodontics Lecture VOF Electives Lecture VOF Prosthodontics/Removable Lecture Prosthodontics/Removable Participation Pharmacotherapeutics (Basic Science) 780 Esthetics/Cosmetic Medical Emergency Training and CPR Practice Management and Human Relations Practice Act/Practice Management Lecture VOF Lecture VOF Participation Lecture Lecture P sply International 070 Endodontics Participation VOF Inc Henry Spenadel Continuing Ed Program of 736 Cancer Screening (Oral Medicine, Diagnosis, Path) Posterior Composite Kerr Corporation 255 Restorations (Operative ) at 149 San Francisc Multi-Disciplinary Topics Lecture Lecture VOF Lecture VOF

16 03/03/ /23/ /23/ /27/ /27/ /28/ /28/ /29/ /29/ /29/ /29/ AGD 780 Esthetics/Cosmetic Chapter- Northern CA Mid Peninsula Society Mid Peninsula Society Special Care Special Care Special Care Special Care Special Care Special Care Special Care Special Care 780 Esthetics/Cosmetic Participation Lecture VOF s Lecture VOF Digital/Video Imaging (Practice Management) Multi-Disciplinary Topics Geriatric (Special Patient Care) Oral Medicine, Oral Diagnosis, Oral Pathology Lecture VOF Lecture VOF Lecture VOF Lecture VOF Special Patient Care Lecture VOF Special Patient Care Lecture VOF Special Needs Patient Care (Pediatric ) for the Medically Compromised/Sp Pt Care Lecture VOF Lecture VOF /09/ Europerio 490 Periodontics Lecture VOF.00 P /20/ /15/ /15/ /15/ /15/ /09/ Nobel Biocare USA, LLC at 550 San Francisc 690 s Lecture Practice Management and Human Relations Lecture VOF Prosthodontics/Fixed Lecture VOF Prosthodontics/Fixed Lecture VOF s Lecture VOF s Lecture VOF

17 03/09/ Practice Act/Practice Management Lecture VOF /09/ /28/ /31/ /31/ /31/ /01/ /01/ /02/ /02/ /02/ /07/ /08/ /08/ /08/ Unknown Provider 144 Table Clinics Lecture VOF Medical Emergency Training and CPR Lecture VOF.00 P Electives Lecture VOF Prescription Medication Management Prescription Medication Management Lecture VOF Lecture VOF Periodontics Lecture VOF Periodontics Lecture VOF Sports /Mouthguards Information Technology/Computers (Practice Mgmt) Oral Medicine, Oral Diagnosis, Oral Pathology Lecture VOF Lecture VOF Lecture VOF Nutrition Lecture VOF Multi-Disciplinary Topics Practice Management and Human Relations Multi-Disciplinary Topics Lecture VOF Lecture VOF Lecture VOF

18 04/26/ /28/ /28/ /29/ /29/ /29/ /29/ /04/ /05/ /06/ /06/ /07/ /07/ /07/ /08/ Colorado Denver Colorado Denver Colorado Denver Colorado Denver (A (A (A (A (A (A 430 Pediatric Lecture VOF Operative (Restorative) Anterior Composite Restorations (Operative ) Diagnosis and Treatment Planning (s) Participation P Participation P Lecture VOF Pediatric Lecture VOF Orofacial Pain Lecture VOF Geriatric (Special Patient Care) Operative (Restorative) Operative (Restorative) Digital Radiology Microbiology (Basic Science) Surgical Stents (s) Lecture VOF Participation VOF Participation VOF Lecture Lecture Lecture s Lecture VOF Restorations (Prosthodontics/Fixed) Bone Grafting/GTR Surgery/Oral & Maxillofacial Sur Caries Detection and Participation Participation

19 12/12/ Colorado Denver 257 Prevention (Operative ) Nov /12/ /12/ /12/ /13/ /13/ /13/ /14/ /26/ /26/ /27/ /31/ /16/ /16/ /16/ Colorado Denver Colorado Denver Colorado Denver Materials (Basic Science) Computer designed/fabricated crowns (Prosth/Fixed) 150 Nutrition at 130 Electives Lecture San Francisc Sleep Apnea & Appliance Therapy Sleep Apnea & Appliance Therapy Infectious Disease Nov Nov Nov Lecture VOF Lecture VOF Lecture VOF s Lecture Physiology (Basic Science) Lecture Diagnosis and Treatment Planning (s) Digital Photography Lecture Lecture s Lecture Surgery (Oral & Maxillofacial Surgery) Lecture s Lecture

20 04/16/ /17/ /17/ /21/ /07/ /08/ /12/ /04/ /05/ /09/ /24/ /09/ /09/ /09/ /10/ s Participation Reconstructive Phase Therapy (s) Surgical Phase Therapy (s) Prevention of Medical Errors Surgery (Oral & Maxillofacial Surgery) Surgery (Oral & Maxillofacial Surgery) Surgical Phase Therapy (s) Lecture Lecture Lecture Participation Participation Lecture Anatomy (Basic Science) Participation Restorations (Prosthodontics/Fixed) Restorative (s) Carestream LLC 315 Surgery (Oral & Maxillofacial Surgery) Lecture Lecture Lecture U s Participation Restorative (s) Lecture Anatomy (Basic Science) Lecture s Lecture

21 07/14/ /06/ /06/ /06/ /07/ /11/ Prosthodontics/Removable Lecture surgery (Periodontics) Lecture Product Training Participation s Participation /12/ FAN OF CPR /20/ /21/ /17/ /17/ /17/ /18/ /18/ /22/ Computer designed/fabricated crowns (Prosth/Fixed) Lecture Prosthodontics/Fixed Lecture Medical Emergency Training and CPR Participation P Nutrition Lecture Jurisprudence/Ethics (Practice Management) Bone Grafting/GTR Surgery/Oral & Maxillofacial Sur Lecture Lecture s Lecture s Participation Bone Grafting/GTR Surgery/Oral & Maxillofacial Sur Anesthesia and Pain Control Restorations (Prosthodontics/Fixed) Participation Lecture Lecture

22 10/01/ /01/ /01/ /02/ /02/ /02/ /07/ /22/ /22/ /23/ /23/ /12/ /12/ /12/ /13/ (A (A (A (A 690 s Lecture Product Training Participation s Participation Product Training Participation s Lecture Anatomy (Basic Science) Lecture s Lecture Surgical Phase Therapy (s) Restorative (s) Surgical Phase Therapy (s) Restorative (s) Lecture Lecture Lecture Lecture Periodontics Lecture Product Training Participation s Participation s Lecture

23 11/13/ /13/ /17/ /03/ /03/ /03/ /03/ /04/ /04/ /05/ /05/ /05/ /03/ /13/ /13/ Bone Grafting/GTR Surgery/Oral & Maxillofacial Sur Lecture Prosthodontics/Removable Lecture Physiology (Basic Science) Lecture s Lecture s Lecture s Participation s 253 Porcelain Veneers (Operative ) Lecture 690 s Lecture Multi-Disciplinary Topics Practice Act/Practice Management Infectious Disease 780 Esthetics/Cosmetic Lecture Lecture Lecture Lecture 200 Orofacial Pain Lecture 318 Bone Grafting/GTR Surgery/Oral & Maxillofacial Sur Participation

24 05/14/ /14/ /08/ /10/ /27/ /27/ /27/ /27/ /27/ /28/ /28/ /28/ /28/ /29/ /29/ (A (A (A (A (A (A (A (A (A (A 250 Operative (Restorative) Participation Endodontics Participation Jurisprudence/Ethics (Practice Management) Lecture Pediatric Participation Prescriont Medication mgmt Psychosocial, Anxiety & Fear in /Elective Prescriont Medication mgmt Psychosocial, Anxiety & Fear in /Elective Restorations (Prosthodontics/Fixed) Appointment/Recall Procedures (Practice Mgmt) Restorations (Prosthodontics/Fixed) Appointment/Recall Procedures (Practice Mgmt) Appointment/Recall Procedures (Practice Mgmt) Restorations (Prosthodontics/Fixed) Restorations (Prosthodontics/Fixed) Participation Participation Lecture S Lecture S Lecture S Lecture S Participation Participation Participation Participation W Participation

25 12/10/ /28/ /28/ /29/ /29/ /22/ /04/ /04/ /30/ /31/ /01/ /03/ /03/ /04/ /04/ /06/ (A at Los Angeles Special Care at Los Angeles at Los Angeles at Los Angeles at Los Angeles at Los Angeles 370 Orthodontics Lecture Porcelain Veneers (Operative ) Porcelain Veneers (Operative ) Porcelain Veneers (Operative ) Porcelain Veneers (Operative ) for the Handicapped/Special Patient Care Materials (Basic Science) Lecture VOF Participation VOF Lecture VOF Participation VOF Lecture VOF Lecture VOF Improvement Lecture VOF s Lecture VOF s Lecture VOF s Lecture VOF Oral Medicine, Oral Diagnosis, Oral Pathology Operative (Restorative) Lecture VOF Lecture VOF s Lecture VOF Digital Radiology/Oral Lecture VOF Medicine, Diagnosis, Pathol 490 Periodontics Lecture VOF

26 07/06/ at Los Angeles 07/07/ /07/ /07/ /07/ at Los Angeles at Los Angeles at Los Angeles at Los Angeles 612 Cracked Tooth & Restorations (Endodontics) All Ceramic Restorations (Prosthodontics/Fixed) Lecture VOF Lecture VOF Periodontics Lecture VOF s Lecture VOF /23/ Fan of CPR /25/ /14/ /14/ /02/ /02/ /02/ /02/ /09/ (A (A BIOLASE - World Clinical Laser & Imaging BIOLASE - World Clinical Laser & Imaging BIOLASE - World Clinical Laser & Imaging BIOLASE - World Clinical Laser & Imaging Digital Radiology/Oral Lecture VOF Medicine, Diagnosis, Pathol Medical Emergency Training and CPR Practice Management and Human Relations Laser Therapy/Electosurgery Reconstructive Phase Therapy (s) Participation VOF.00 P 3.00 Lecture VOF Lecture A Lecture A Electives Lecture VOF AGD Chapter- 555 Northern CA Laser Therapy/Electosurgery Operative (Restorative) Lecture VOF Lecture VOF Periodontics Lecture VOF Jurisprudence/Ethics (Practice Management) Lecture *Note about verification codes: "VOF" in the verification code field indicates that the provider did not assign a course verification code but the AGD has a copy of the CE certificate on file. For self-study courses and exams, if the score is provided, it is reported as the verification code. **AGD will record CE for affiliate members; however affiliates may not accrue CE toward the AGD membership

27 awards (FAGD, MAGD or LLSR). Legend of Exception Codes Code J P S X Y Description Taken before CE Start Date Program Provider not approved Student Entry - issue expired User forced acceptance LLSR SUMMARY OF TRANSCRIPT DELIVERY Earned Hours Maximum Allowed Total Usable Hours CASE_PRESENTATION FAGD_STUDY LECTURE MILITARY ROTATION PARTICIPATION POSTGRAD PUBLICATION SELF INSTRUCTION TEACHING DISCIPLINE SUMMARY Discipline / Description Participation Hours Overall Hours 010 (*) Basic Science (*) Endodontics Electives (*) Occlusion Orofacial Pain (*) Operative (Restorative) (*) Oral and Maxillofacial Surgery Anesthesia, Pain Mgmt, Sedation, Pharmacology (*) Orthodontics (*) Pediatric (*) Periodontics Practice Management and Human Relations (*) Prosthodontics/Fixed (*) Prosthodontics/Removable (*) s

28 730 (*) Oral Medicine, Oral Diagnosis, Oral Pathology (*) Special Patient Care Improvement (*) Esthetics/Cosmetic Post Grad Education TOTAL HOURS EARNED: TOTAL HOURS REQUIRED: MINIMUM HOURS STILL REQUIRED: Once you receive Academy Mastership you may apply for the Lifelong Learning Service Recognition. This chart shows how many of your credits will apply toward the Recognition, based on the date you were approved for Mastership. You will know you have completed the requirements for Lifelong Learning Service Recognition when this chart shows the following: 1) Total Hours Earned is at least 150 for Participation and 500 Overall, and 2) at least eight of the required (*) disciplines are covered in the Continuing Education completed since Mastership was approved. Contact us at 888-AGD-DENT or for an application for the Lifelong Learning Service Recognition.

Previous AGD/ADA # Member Since: 05/01/2005

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