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Credential/License Summary for 6905

Name: SIEGERT, JACOB J.
Profession: DENTISTRY (15)
Credential/License Number: 6905-15
Location: ONALASKA 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: 9/30/2023
Granted date: 6/1/2012
Multi-state: N
Orders: NONE
Specialties: Class II moderate sedation enteral route
Other Names: NONE

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
CPR requirement complied 08/16/2021
FEE requirement complied 08/16/2021
SIG requirement complied 08/16/2021
Renewal Year Amount Paid Payment Received
2021 60 08/16/2021

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Wis. Stat. ยง 227.51(2) When a licensee has made timely and sufficient application for the renewal of a license or a new license with reference to any activity of a continuing nature, the existing license does not expire until the application has been finally acted upon by the agency, and, if the application is denied or the terms of the new license are limited, until the last day for seeking review of the agency decision or a later date fixed by order of the reviewing court.

Requirement Code Description

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