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Credential/License Summary for 51800

Name: FELICIANO, CARLOS E
Profession: MEDICINE AND SURGERY (20)
Credential/License Number: 51800-20
Location: MILWAUKEE 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: 6/18/2008
Multi-state: Y
Orders: NONE
Specialties: EMERGENCY MEDICINE
Other Names: NONE

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2021
FEE requirement complied 10/27/2021
SIG requirement complied 10/27/2021
Renewal Year Amount Paid Payment Received
2021 60 10/27/2021

No data found.

Individuals
Name Location Relationship Start Date
GENGEMBRE, TIMOTHY ELM GROVE WI PHYSASSTNT - MD 07/08/2013
LUJAN, CRISTHIAN PINELLAS PARK FL PHYSASSTNT - MD 08/02/2015
MURPHY, DANIEL NEW BERLIN WI PHYSASSTNT - MD 10/13/2020
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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