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
:
03/21/2016
Application#
:
553947
Name
:
RADMAN, JILL A
Profession
:
Advanced Practice Nurse Prescriber
Address
:
Fifty Lakes, MN
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 Online Exam
Met
3/21/16: complete;
-------
10/29/15: You may now take the exam at any time. Prior to taking exam, review instructions at: http://dsps.wi.gov/Default.aspx?Page=4b8652bf-04d2-4a83-8152-a5a2ff641e03
When at ParTest Online, you’ll need the following:
Test Name: APN12D
Test Password: APN12D
Student ID: 553947 ----
Please allow 7-10 business days for your score to be updated to your application status
Application Fee
Met
$150
Applicable blanks completed
Met
Holds a current WI RN license in good standing
Met
3/1/16: WI RN issued;
------
10-29-15 update: Need to apply for a WI RN license by endorsement
All questions answered and relevant copies attached
Met
Certification of Legal Status Completed
Met
Affidavit of applicant, signed
Met
45 Contact Hours in Clinical Pharmacology/Therapeutics completed within 5 years preceding application
Met
3/16/16: rec'd;
-------
3/7/16: Rec'd 30 hours, still need 15 pharm hours;
--------
10/29/2015 update: When available, please send proof of 45 contact hours in pharmacology—CE’s to include the title of course, number of pharm hours per course and date of completion OR, you can send a photocopy of your transcript page containing the 3 credit course. Any proof of pharm hrs must be completed within 3 years preceding the date of this application. Hours can be emailed to DSPSCREDNursing@wi.gov or faxed to 608-261-7083, Attn: Nursing
Certification of Master's Degree (Form #2367) from your school
Met
Certification form for APNP's liability insurance coverage (Form #2157)
Met
Verification of current national certificate from the national certifying body
Met
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