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
:
05/01/2013
Application#
:
468612
Name
:
SAFECOR HEALTH LLC
Profession
:
Wholesale Distributor of Prescription Drugs
Address
:
COLUMBUS, OH
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)
Application Fee
Met
$75
PAGE 1 - Applicable blanks completed
Met
Type of License
Met
Applicant Address of Distributor Facility
Met
Owner Partners Corporate Officers, titles, etc
Met
Type of ownership or operation of Applicants Business completed.
Met
Verification of Licensure in Other States (if applicable)
Met
Inspection Information completed and approved.
Met
VAWD
Irrevocable letter of Credit form #2824 completed.
Met
Designated Representative Form #2812 Completed.
Met
Authorization for release of FBI information (#2687)
Met
All questions answered and relevant copies attached
Met
Affidavit of applicant, signed
Met
Federal Identification Number Collection
Met
Date application was sent for board approval. This date will appear in the note section once all required items have been met.
Met
Login
Application Status
DSPS Home Page
License Look-up
Main Menu
PIN Look-up