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  :  03/24/2022
Application#  :  712046
Name  :  PALMITESSA, DEBRA A
Profession  :  Registered Nurse
Address  :  WOODBURY, 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)
Application Complete Met
3/24/22: received ---RG
2/25/20: Missing answers to questions 14. Please download pages 4 of the application (form #3087, available at http://dsps.wi.gov) and send to our department with these questions answered. Be sure to put your name, profession and ID number on top of the page before sending to our department. Page can be faxed to 608-251-3036, Attn: Nursing or emailed to DSPSCredNursing@wi.gov; -- EOY
Application Fee Met
$73
Primary State of Residence Met
All activities and practice accounted for Met
3/24/22: received ---RG
2/25/20: 01/2017-02/2015. This time was not accounted for. All time must be accounted for including professional and non-professional activities. Please include name of facility, location (city/state/country) and position in which you are/were employed (i.e. RN, LPN, CNA, etc.). You can fax info to 608-251-3036 or email info to DSPSCredNursing@wi.gov
--- EOY
Verification of state license(s) and/or credential(s) Met
MN (exp. 02/29/2024, exam) -EOY
Additional Comments Met
3/24/22: received ---RG
2/27/20: Need start and end date (or to present indication) for employment with Abbot Northwestern Hospital. This was not provided on the application. Please email start and end date (or indicate to present) for activities at this location. Please be explicit in your statement and email to DSPSCredNursing@wi.gov - EOY
OTHER Met
3/24/22: received ---RG
3/22/22: Application is over 1 year old or more and needs to be updated. Please download application form #3087 https://dsps.wi.gov/Credentialing/Health/fm3087.pdf .Complete application in its entirety and submit to our department. Please put 'UPDATE’ with your application ID number on top of application prior to submitting. Update can be emailed to DSPSCredNursing@wi.gov or faxed to 608-251-3036; ----RG