Credential Summary - Renewal Requirements

Credential Summary for 11807-134
Name: Budenz, Daniel T
Credential Type: INTERMEDIATE CLINICAL SUPERVISOR (134)
Credential Number: 11807-134
Location: FITCHBURG, WI
License Type: regular
Status License is not current (Expired)
Eligible To Practice: Not Eligible to Practice
First Fee Received: NOT APPLICABLE

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Renewal requirements for the year:
Requirement Code Complied? Complied Date


Requirement Code Description

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