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  :  07/22/2011
Application#  :  407837
Name  :  RADMAN, JILL A
Profession  :  Registered Nurse
Address  :  Fifty Lakes, MN
Application Status  :  Withdrawn (Abandoned)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)
Verification of state license(s) and/or credential(s) Not Met
As indicated in the application instructions and on page 2 of the application, you need to register with NURSYS.com, (pay their fee, and designate the state of Wisconsin to obtain verifications) so we can verify the MN license online thru that agency. Since this was not available during the recent review of your application, ONCE YOU HAVE REGISTERED, PLEASE LET THE BOARD OF NURSING KNOW VIA EMAIL AT diane.smith@wisconsin.gov Within 15-20 business days after receiving your email answer, your application status should then be updated
Statement of Graduation from your school Not Met

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
PAGE1 Applicable Blanks completed Met
10-1-2012: Application withdrawn due to inactivity.
Application Fee Met
$82
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
Certification of Legal Status Completed Met