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Credential/License Summary for 247508

Name: MCCULLOUGH, DOMINISE C
Profession: REGISTERED NURSE (30)
Credential/License Number: 247508-30
Location: MADISON WI
Credential/License Type: regular
Status: License is not current (Expired)
Eligible To Practice: Not Eligible to Practice

Details
Requirements
Payments
Orders
Relationships

Credential/License current through: 2/29/2024
Granted date: 5/7/2019
Multi-state: N
Orders: NONE
Specialties: NONE
Other Names: DOMINISE C MCCULLOUGH

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2022
CIB requirement complied 02/24/2022
PCC requirement complied 02/24/2022
FEE requirement complied 02/16/2022
RES requirement complied 02/16/2022
SVY requirement complied 02/16/2022
Renewal Year Amount Paid Payment Received
2022 69 02/16/2022

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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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