Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Credential Summary - Renewal Requirements
Credential Summary for
4749-15
Name:
Bauman, Andrew J
Credential Type:
DENTISTRY (15)
Credential Number:
4749-15
Location:
RIVER FALLS, WI
License Type:
limited
Status
License is current (Active)
Eligible To Practice:
credential license is current (See board order)
First Fee Received:
YES
Details
Requirements
Payments
Orders
Relationships
Renewal requirements for the year:
2021
Requirement Code
Complied?
Complied Date
CPR
requirement complied
09/30/2021
FEE
requirement complied
09/30/2021
SIG
requirement complied
09/30/2021
Requirement Code Description
Consistent with JCAHO and NCQA standards for primary source verification.
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