Credential Summary - Renewal Requirements

Credential Summary for 72096-20
Name: immanuel, josepha A
Credential Type: MEDICINE AND SURGERY (20)
Credential Number: 72096-20
Location: HOUSTON, TX
License Type: regular
Status License is current (Active)
Eligible To Practice: credential license is current
First Fee Received: YES

DetailsRequirementsPaymentsOrdersRelationships
Renewal requirements for the year: 2021
Requirement Code Complied? Complied Date
FEE requirement complied 09/29/2021
NAC requirement complied 09/17/2021
SIG requirement complied 09/16/2021


Requirement Code Description

Consistent with JCAHO and NCQA standards for primary source verification.
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