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
:
06/13/2013
Application#
:
468772
Name
:
O'Brien, Bridgette A
Profession
:
Massage Therapist or Bodywork Therapist
Address
:
Avoca, 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)
Wisconsin Statutes & Rules Examination
Met
Application Complete
Met
Application Fee
Met
PD 4/26/13 $158
Certification of Legal Status Completed
Met
Notary
Met
Social Security Number
Met
Massage Therapy or Bodywork Therapy Program (form #2962)
Met
Graduated 5/13
AED/CPR Certification
Met
Expires 3/31/15
Verification of passing a National Massage Exam
Met
Malpractice Insurance
Met
Expires 4/23/14
Information on Conviction(s)/Pending Charge(s) (Form #2252)
Met
CIB review complete.
Other General
Met
Review okayed.
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