Wisconsin
Department of Safety and Professional Services
Jacobson, Lang O
Medicine And Surgery
License number
56300-20
Date granted
09/19/2011
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13757085
LAST UPDATED 2024-04-11 09:13:45 UTC
LAST UPDATED 2024-04-11 09:13:45 UTC
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