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

DetailsRequirementsPaymentsOrdersRelationships
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

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