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 toDr. Aisha Grant, MD
CredentialDEA registration (VA)
NumberVA-DEA-DEMO-4062
Issued byDEA (demo record)
Valid fromFeb 26, 2025
Valid throughFeb 26, 2028

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