| Requirement Code | Complied? | Complied Date |
| Renewal Requirements for the year: 2021 | ||
| FEE | requirement not complied | |
| SIG | requirement not complied | |
Individual Search Results - Detail
Credential/License Summary for 130268
Name: CLARK, BRANNEN S
Profession: ADVANCED PRACTICE SOCIAL WORKER (121)
Credential/License Number: 130268-121
Location: MADISON WI
Credential/License Type: regular
Status: License is not current (Expired)
Eligible To Practice: Not Eligible to Practice
Credential/License current through: 2/28/2021
Granted date: 2/20/2017
Multi-state: N
Orders: NONE
Specialties: NONE
Other Names:
Stephanie M Clark
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ATTENTION: If a renewal application including payment is received by the renew by date (or Credential/License current through date), the credential holder is eligible to practice while the credential renewal is being processed. The credential holder must respond to any requests for information during the renewal process. See Wis. Stat. ยง 227.51(2).
