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. Samuel Ortiz, MD
CredentialState medical license (TN)
NumberTN-LIC-DEMO-4068
Issued byTennessee medical board (demo record)
Valid fromSep 8, 2026
Valid throughSep 8, 2028

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