SAMPLE for the demonstration: a fictional certificate, not a real document. In real use this is the scan or PDF the coordinator attaches.

DEA registration

Ridgeline Health Partners credential file

Issued toTheo Ramirez, PA-C
CredentialDEA registration (TN)
NumberTN-DEA-DEMO-4051
Issued byDEA (demo record)
Valid fromJul 17, 2025
Valid throughJul 17, 2028

Fictional provider and number. Close this tab to return to the Credential Tracker.