Certified;

cer·ti·fied [sur-tuh-fahyd] –adjective
1. having or proved by a certificate: a certified representative. 2. guaranteed; reliably endorsed: a certified check. 3.
legally declared insane. 4. committed to a mental institution.

[Refered to on masqueradetattoo.com as; Certified by the N.Y.S. Suffolk County Board of Health Commission]