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
:
01/20/2005
Application#
:
214162
Name
:
VAN DYK, RIKKI S
Profession
:
Licensed Practical Nurse
Address
:
New Richmond, 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
$
Primary State of Residence
Met
PAGE 2 List all professional and non professional activities and list every state that you have ever held a license in.
Met
PAGE 3 and 4 All questions answered and relevant copies attached.
Met
PAGE 4 Affidavit of applicant signed.
Met
DOCUMENTS REQUIRED Social Security Number Collection Form (#2380)
Met
Statement of Graduation from your school
Met
Temporary Permit Application (Form #2434) Received
Met
Issued
Eligible to Take NCLEX
Met
Verification of Passing from NCLEX
Met
Login
Application Status
DSPS Home Page
License Look-up
Main Menu
PIN Look-up