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  :  07/17/2008
Application#  :  304968
Name  :  VAN DYKE, ROSE ANNETTE
Profession  :  Pharmacist
Address  :  Chippewa falls, 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)
PAGE 1 Met
Applicant's Name and Address Met
Application Fee Met
$
PAGE 2, 3 & 4 Met
All Questions Answered Met
PAGE 5 Met
Application signed in front of Notary Public Met
NABP APPLICATION Met
Notary Complete Met
ACTIVE PRACTICE FORM Eligibility for transfer of pharmaceutical licensure based on active practice of pharmacy Met
Forward your MPJE application with money order to NABP at PO Box 1057, Park Ridge IL 60068 Met
MPJE approval forwarded to NABP. Retake exams will have an additional waiting period per NABP. Please contact NABP for more information. Met
Authorized effective 6/30/08.
MPJE Results (Results will be reported and mailed at least 2 weeks from the date of the exam) Met
Patient Consultation Exam Scheduled (Admission ticket with scheduled time and directions will be mailed 10 days prior to date of exam.) Met
To be determined when NABP report is received. 6/25/08 sent for review. PC not required.
Social Security Number Met