LEARNER RECORDS: SAMPLE
4 5 6
H
A
R
R
I
S
B
U
R
G
P A
1
7
1
1
0
7
1
7
4
5
6 7 9 0 8
M
D
1
4 2 3 5 6 L
A
B
I
M
1
2
2
1
1 8
9 0
LICENSE NUMBER FORMATS:
Doctor of Medicine: MD followed by 5-6 numbers (MD123456) or MD followed by 5-6 numbers and L (MD123456L) Medical Physician Assistant: MA followed by 5-6 numbers (MA123456) or MA followed 5-6 numbers and L (MA123456L) Graduate Medical Trainee: MT followed by 5-6 numbers (MT123456) or MT followed 5-6 numbers and T (MT123456T) Doctor of Podiatric Medicine: SC followed by 6 numbers (SC123456) or SC followed 6 numbers and L or R (SC123456R)
Doctor of Osteopathic Medicine: OS followed by 5-6 numbers (OS123456) or OS followed by 5-6 numbers and L or E (OS123456L) Osteopathic Physician Assistant: OA followed by 3-6 numbers (OA123456) or OA followed by 3-6 numbers and L (OA123456L) Graduate Osteopathic Trainee: OT followed by 5-6 numbers (OT123456) or OT followed by 5-6 numbers and T (OT123456T) Chiropractor: DC followed by 4-6 numbers (DC123456) or DC followed by 4-6 numbers and L (DC123456L)
Nurse-midwife 1-3 numbers (123) Optometrist:
OE followed by 6 numbers (OE123456) or OEG, OEP, OET followed by 6 numbers (OEG123456) Acupuncturist: AK or KO followed by 6 numbers (AK123456) or AK or KO followed by 6 numbers and L (AK123456L)
DATA REPORTING: Federal, State, and Regulatory Agencies require disclosure of data reporting to all course participants. InforMed abides by each entity’s requirements for data reporting to attest compliance on your behalf. Reported data is governed by each entity’s confidentiality policy. To report compliance on your behalf, it’s mandatory that you must achieve a passing score and accurately fill out the learner information, activity and program evaluation, and the 90-day follow up survey. Failure to accurately provide this information may result in your data being non-reportable and subject to actions by these entities.
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