Wisconsin
Department of Safety and Professional Services
Ballentyne, Mark A
Medicine And Surgery
License number
29605-20
Date granted
07/22/1988
Date expires
11/01/1991
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12776486
LAST UPDATED 2024-05-07 22:40:22 UTC
LAST UPDATED 2024-05-07 22:40:22 UTC
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