Think of it this way, what to they call the guy that earned all C's and has a medical license? Doctor, same as the one who earned all A's. Ever ask your doctor what grades he made? Probably not, once he has the license we all assume he is competent. In many venues getting a license is more about fees(taxes) than about competence. I mean do you think they offer the exam online because they are concerned with the competence factor?