Request an Application
To request an application, please send your current CV and medical license
to Mary Sturgis, Credentialing Coordinator, at
firstname.lastname@example.org or fax to 302-575-8220.
After receipt of above, the Medical Staff office will send you the application
and relevant privilege request forms.
A member of our staff will notify you once the application is deemed complete
and ready for appropriate review. At that time, a personal interview must
be set up with the prospective Department Chair.
Delaware Board of Medical Licensure and Discipline
Click here to apply for a Medical License.
If you have any questions regarding recredentialing, please contact Dina
Edney, Credentialing Specialist, at 302-575-8164 or
For other concerns, please contact Melissa Miller, Manager of Medical Affairs,
at 302-575-8073 or
Mary Jean Valentino, Physician Liaison/Informatics