Wisconsin
Department of Safety and Professional Services
Lane, Larry R
Medicine And Surgery
License number
15824-20
Date granted
10/14/1966
Date expires
10/31/2009
Class
Medicine And Surgery
Status
Surrendered
wisconsinmedicine.org
ID 35595005
LAST UPDATED 2024-05-04 12:22:29 UTC
LAST UPDATED 2024-05-04 12:22:29 UTC
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