Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
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As of
Oct 7, 2026
Pick as many as you like in each row. A record shows if it matches any pick in a row, and every row.
All typesState medical licenseDEA registrationState controlled substance registrationBoard certificationMalpractice insuranceCAQH attestationPayer enrollmentHospital or surgery center privilegesCPR / BLS certificationOIG exclusion check
All sitesEast RegionWest RegionEastgate Family CareJefferson ParkMain CampusRiverbendRiverside OrthopedicsStonebridge
11 records for providers who work at Main Campus, Riverbend and Stonebridge. Clear all filters
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 4, 2026
- Dr. Nora WhitfieldState medical license (TN)CurrentCurrent. Start the renewal by Dec 23, 2026.No. TN-LIC-DEMO-4158Ends Mar 23, 2027
- Theo RamirezState medical license (TN)CurrentCurrent. Start the renewal by Feb 4, 2027.No. TN-LIC-DEMO-4046Ends May 5, 2027
- Dr. Owen HaleState medical license (TN)CurrentCurrent. Start the renewal by May 11, 2027.No. TN-LIC-DEMO-4001Ends Aug 9, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 2, 2027.No. TN-LIC-DEMO-4055Ends Dec 1, 2027
- Dr. Lena OkaforState medical license (TN)CurrentCurrent. Start the renewal by Dec 7, 2027.No. TN-LIC-DEMO-4011Ends Mar 6, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 9, 2028.No. TN-LIC-DEMO-4145Ends May 9, 2028
- Dr. Rosa DelgadoState medical license (VA)CurrentCurrent. Start the renewal by Mar 29, 2028.No. VA-LIC-DEMO-4146Ends Jun 27, 2028
- Grace LiuState medical license (VA)CurrentCurrent. Start the renewal by Apr 14, 2028.No. VA-LIC-DEMO-4123Ends Jul 15, 2028
- Dr. Samuel OrtizState medical license (TN)CurrentCurrent. Start the renewal by Jun 9, 2028.No. TN-LIC-DEMO-4068Ends Sep 8, 2028
- Dr. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 20, 2028.No. TN-LIC-DEMO-4102Ends Oct 18, 2028