Prototype · sample data
Walkthrough
The same sample record from two sides: Dr. Elena Ruiz, who owns it, and Example Locum Agency, which reads it under a grant. Nothing on these screens is sent anywhere.
Good morning, Dr. Ruiz
Prototype · sample dataVerified
In verification
Needs action
Missing
22/23Ohio renewal requirements
2Grants active
41Days to DEA renewal
Sample recordNPI ••••••4302
Dr. Elena Ruiz
Internal medicine
Who can see
my record
Example Locum Agency
State licenses, DEA, board certification
Ends Oct 31, 2026Revoke
Sample Regional Hospital
Full record, for privileging
Ends Nov 15, 2026Revoke
Ohio renewal
96%
22 of 23 met
- License verifiedOhio eLicense · Sep 4 · J.M.
- Duty-to-report CME, 1 hourOAC 4731-10-02 · not yet logged
New York
Form 1 package for NYSED
50%
Done
3
Wait
1
You
2
Form 1 checklist
3/6left
- Ohio license verifiedOhio eLicense · Sep 4
- Board certificationABIM · Aug 28
- Licensing examsFSMB transcript · Aug 25
- Answer 2 disclosure questionsNeeded for the package
- Explain work-history gapJul to Sep 2019
- Medical educationIn verification with the school
Form 1 is completed on the NYSED portal. We generate the package you file from.
State licenses1
Ohio medical licenseVerified35.0XXXXX · Ohio eLicense · Sep 4, 2026 · verified by J.M.
DEA registration1
Board certification1
Malpractice1
Education2
SeptemberRenewals and expirationsNovember
TodayOct 2
Week ofOct 5
Week ofOct 12
Week ofOct 19
Week ofOct 26
Week ofNov 2
Week ofNov 9
Credentials
Access
Applications
Malpracticeexpires Oct 31
DEAdue Nov 12
Agency grantends Oct 31
Ohio renewal1 item left
Good morning, Dr. Ruiz
Prototype · sample data
22/23
Ohio renewal requirements
2
Grants active
41
Days to DEA renewal
96%
Ohio renewal
22 of 23 met
Log 1-hour duty-to-report CME
New York Form 1
3/6left
Answer 2 disclosure questions
Needed for the package
Explain work-history gap
Jul to Sep 2019
Medical education is in verification with the school
Who can see my record
Example Locum Agency
Licenses, DEA, board cert.
Ends Oct 31, 2026
ER
Dr. Elena Ruiz
Internal medicine · NPI ••••••4302 · Granted record, sample data
Read onlyDownload verified packet
In this grant
3
Credentials shared with you
Verified
3/3
From primary sources
Next expiry
41 days
DEA registration, Nov 12
Access remaining
29 days
Grant ends Oct 31, 2026
Verified credentials
View evidenceOhio medical license35.0XXXXX
Verified from primary source · Ohio eLicense · Sep 4, 2026 · verified by J.M.
Verified
Expires Jan 1, 2027
DEA registrationXX•••••12
Verified from primary source · DEA lookup · Sep 4, 2026 · verified by J.M.
Expiring
Expires Nov 12, 2026
Board certificationABIM, Internal medicine
Verified from primary source · ABIM · Aug 28, 2026 · verified by K.T.
Verified
Certified, MOC current
Not in this grant
MalpracticeEducationWork historyScreening results
Your views of this record
Sep 30, 2026Viewed by your credentialing team
Sep 24, 2026Access granted by Dr. Ruiz
Dr. Ruiz sees every view in her access log. Request more access
Access and expiry
October 2026
Mon
Tue
Wed
Thu
Fri
Sat
Sun
1
2
3
4
5
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Oct 31
Your access ends
Ask Dr. Ruiz to extend it
Nov 12
DEA registration expires
Renewal evidence pending