Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
08/07/2001
Application#
:
129738
Name
:
HAESLER, AMY J
Profession
:
Registered Nurse
Address
:
Barneveld, WI
Application Status
:
(Permanent license issued)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
PAGE1 Applicable Blanks completed
Met
Application Fee
Met
$
PAGE 2, 3 & 4 All questions answered and relevant copies attached
Met
PAGE 4 Affidavit of applicant, signed and notarized
Met
DOCUMENTS REQUIRED Social Security Number Collection Form (#2380)
Met
Statement of Graduation from your school
Met
Temporary Permit Application (Form #2434) Received
Met
Temporary permit issued.
Eligible to Take NCLEX
Met
Made eligible to test.
NCLEX results
Met
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