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. Rosa Delgado, MD
CredentialState medical license (VA)
NumberVA-LIC-DEMO-4146
Issued byVirginia medical board (demo record)
Valid fromJun 27, 2026
Valid throughJun 27, 2028

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