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
:
03/02/2016
Application#
:
563990
Name
:
RADMAN, JILL A
Profession
:
Registered Nurse
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)
PAGE1 Applicable Blanks completed
Met
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
Certification of Legal Status Completed
Met
Affidavit of applicant, signed
Met
Social Security Number
Met
Verification of state license(s) and/or credential(s)
Met
MN (exp 11/30/17-exam)
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