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 toGrace Liu, APRN, FNP
CredentialState medical license (VA)
NumberVA-LIC-DEMO-4123
Issued byVirginia medical board (demo record)
Valid fromJul 15, 2026
Valid throughJul 15, 2028

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