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. Ethan Cole, MD
CredentialState medical license (TN)
NumberTN-LIC-DEMO-4134
Issued byTennessee medical board (demo record)
Valid fromOct 28, 2026
Valid throughOct 28, 2028

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