Verification of Participation

This is to verify that

__________________________________________
Participated in the continuing education lecture course “The John I. Ingle
International Endodontic Symposium” Live Online, on November 12-13, 2021,
9:00 AM – 5:30 PM, and designates this activity for 14 continuing education
credits.

Ziv Simon, DMD, MSc

Organizing Committee

Course #: 03-4632-21006
CDA CE Provider #: RP 4632 Dr. Ziv Simon

Enrollee’s Name _________________________________________

Enrollee’s License Number_________________________________

This confirms that the individual designated above has met all the requirements of the above course for awarding applicable
continuing education credit.

PARTICIPANTS: Continuing education credits issued for participation in the CE activity may not apply toward license renewal in
all licensing jurisdictions. It is the responsibility of each participant to verify the CE requirements of his/her licensing or
regulatory agency. Participants should retain this document for their records.