SAMPLE for the demonstration: a fictional certificate, not a real document. In real use this is the scan or PDF the coordinator attaches.

State controlled substance registration

Ridgeline Health Partners credential file

Issued toDr. Rosa Delgado, MD
CredentialState controlled substance registration (VA)
NumberVA-CSR-DEMO-4153
Issued byVirginia board of pharmacy (demo record)
Valid fromFeb 20, 2026
Valid throughFeb 20, 2028

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