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Credential/License Summary for 51001

Name: NUSBAUM, ANNA M
Profession: MEDICINE AND SURGERY (20)
Credential/License Number: 51001-20
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: 10/31/2025
Granted date: 10/12/2007
Multi-state: Y
Orders: NONE
Specialties: PSYCHIATRY
Other Names: Anna M Nusbaum

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
FEE requirement complied 10/17/2021
SIG requirement complied 10/17/2021
Renewal Year Amount Paid Payment Received
2021 60 10/17/2021

No data found.

Individuals
Name Location Relationship Start Date
CARON, MARC MILWAUKEE WI SUPERVISES 04/08/2015
SIMS, LATOYA MILWAUKEE WI SUPERVISES 02/17/2015
WOJTAK, MEGAN KENOSHA WI SUPERVISES 08/11/2015
Organizations
Name Location Relationship Start Date

No data found.

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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