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Credential/License Summary for 47722

Name: SEVERSON, ERIK A
Profession: MEDICINE AND SURGERY (20)
Credential/License Number: 47722-20
Location: STAR PRAIRIE 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: 10/31/2027
Granted date: 1/11/2005
Multi-state: Y
Orders: NONE
Specialties: FAMILY PRACTICE, FAMILY MEDICINE
Other Names: Erik A Severson

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
AFN requirement not complied
FEE requirement complied 10/14/2021
SIG requirement complied 10/14/2021
Renewal Year Amount Paid Payment Received
2021 60 10/14/2021

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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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