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. Julian Moore, MD
CredentialState medical license (TN)
NumberTN-LIC-DEMO-4111
Issued byTennessee medical board (demo record)
Valid fromJun 27, 2025
Valid throughJun 27, 2027

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