Wisconsin
Department of Safety and Professional Services
Ballan, Douglas A
Medicine And Surgery
License number
63073-20
Date granted
10/06/2014
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36514786
LAST UPDATED 2024-02-06 22:50:43 UTC
LAST UPDATED 2024-02-06 22:50:43 UTC
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