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  :  02/05/2009
Application#  :  329054
Name  :  EGAN, NICOLE M
Profession  :  Dental Hygiene
Address  :  Vancouver, WA
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)
Wisconsin Statutes & Rules Examination Met
Incorrect ID number used for exam. Matched by name.
PAGE 1 Met
Applicable blanks completed Met
Application Fee Met
$
PAGE 2 Met
Applicable blanks completed Met
All activities and practice accounted for from the date of graduation to the present. Provide employers name, location (city&state), dates (month&year), # of hours worked per week, job title & duties Met
PAGE 3 Met
All questions answered and relevant copies attached Met
Affidavit of applicant, signed Met
Certificate of Professional Education (Form #1463) (including signature and school seal) Met
Regional Dental Testing Service Score Card(s) (Original(s) pass & fail) Met
CRDTS
Passed Part I 12/15/2008
Passed Part II 12/13/2008
National Board Score Card(s) (Original(s) pass & fail) Met
Certification of Legal Status Completed Met
AED/CPR Certification Met
CPR/AED expires 1/2010
Social Security Number Met