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 6, 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
17 records. Clear all filters
- Dr. Aisha GrantState medical license (VA)LapsedLapsed 3 days ago. No renewal has been recorded.No. VA-LIC-DEMO-4056Ends Oct 3, 2026
- Nadia BrooksState medical license (TN)Action dueRenewal under way. Renewal sent Sep 26, 2026. Expires Dec 20, 2026.No. TN-LIC-DEMO-4036Ends Dec 20, 2026
- Caleb FosterState medical license (TN)CurrentCurrent. Start the renewal by Oct 30, 2026.No. TN-LIC-DEMO-4092Ends Jan 28, 2027
- Dr. Nora WhitfieldState medical license (TN)CurrentCurrent. Start the renewal by Dec 22, 2026.No. TN-LIC-DEMO-4158Ends Mar 22, 2027
- Theo RamirezState medical license (TN)CurrentCurrent. Start the renewal by Feb 3, 2027.No. TN-LIC-DEMO-4046Ends May 4, 2027
- Dr. Hannah WeissState medical license (TN)CurrentCurrent. Start the renewal by Feb 9, 2027.No. TN-LIC-DEMO-4080Ends May 10, 2027
- Dr. Julian MooreState medical license (TN)CurrentCurrent. Start the renewal by Mar 26, 2027.No. TN-LIC-DEMO-4111Ends Jun 26, 2027
- Dr. Owen HaleState medical license (TN)CurrentCurrent. Start the renewal by May 10, 2027.No. TN-LIC-DEMO-4001Ends Aug 8, 2027
- Dr. Marcus BellState medical license (TN)CurrentCurrent. Start the renewal by Aug 26, 2027.No. TN-LIC-DEMO-4023Ends Nov 24, 2027
- Dr. Aisha GrantState medical license (TN)CurrentCurrent. Start the renewal by Sep 1, 2027.No. TN-LIC-DEMO-4055Ends Nov 30, 2027
- Dr. Lena OkaforState medical license (TN)CurrentCurrent. Start the renewal by Dec 6, 2027.No. TN-LIC-DEMO-4011Ends Mar 5, 2028
- Dr. Rosa DelgadoState medical license (TN)CurrentCurrent. Start the renewal by Feb 8, 2028.No. TN-LIC-DEMO-4145Ends May 8, 2028
- Dr. Rosa DelgadoState medical license (VA)CurrentCurrent. Start the renewal by Mar 28, 2028.No. VA-LIC-DEMO-4146Ends Jun 26, 2028
- Grace LiuState medical license (VA)CurrentCurrent. Start the renewal by Apr 14, 2028.No. VA-LIC-DEMO-4123Ends Jul 14, 2028
- Dr. Samuel OrtizState medical license (TN)CurrentCurrent. Start the renewal by Jun 9, 2028.No. TN-LIC-DEMO-4068Ends Sep 7, 2028
- Dr. Priyanka RaoState medical license (TN)CurrentCurrent. Start the renewal by Jul 19, 2028.No. TN-LIC-DEMO-4102Ends Oct 17, 2028
- Dr. Ethan ColeState medical license (TN)CurrentCurrent. Start the renewal by Jul 28, 2028.No. TN-LIC-DEMO-4134Ends Oct 27, 2028