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Credential/License Summary for 20828

Name: NAHIN, DAVID R
Profession: MEDICINE AND SURGERY (20)
Credential/License Number: 20828-20
Location: BROOKFIELD WI
Credential/License Type: regular
Status: License is current (Active)
Eligible To Practice: credential license is current

Details
Requirements
Payments
Orders
Relationships

Credential/License current through: 10/31/2023
Granted date: 7/1/1977
Multi-state: N
Orders: 12
Specialties: OCCUPATIONAL MEDICINE, EMERGENCY MEDICINE
Other Names: David R Nahin MD
David R. Nahin MD
David R. Nahin M.D.

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
FEE requirement complied 10/16/2021
SIG requirement complied 10/16/2021
Renewal Year Amount Paid Payment Received
2021 60 10/16/2021
Hearing ID Order Date Subject
ORDER0004007 08/12/2015 ORDER GRANTING FULL LICENSURE
ORDER0004007 05/20/2015 FINAL DECISION AND ORDER
AGENCY 07/31/1997
AGENCY 01/30/1996
AGENCY 01/30/1996
AGENCY 08/03/1995
AGENCY 02/03/1995
AGENCY 08/09/1994
AGENCY 01/29/1994
AGENCY 11/29/1993
LS9304051MED 04/28/1993 FINAL DECISION AND ORDER
AGENCY 03/25/1993

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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).

Requirement Code Description

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