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

State medical license

Ridgeline Health Partners credential file

Issued toDr. Aisha Grant, MD
CredentialState medical license (VA)
NumberVA-LIC-DEMO-4056
Issued byVirginia medical board (demo record)
Valid fromOct 3, 2024
Valid throughOct 3, 2026

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