Wisconsin
Department of Safety and Professional Services
Balliet, Kelly A
Medicine And Surgery
License number
30648-20
Date granted
08/24/1989
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12777498
LAST UPDATED 2024-03-17 15:16:22 UTC
LAST UPDATED 2024-03-17 15:16:22 UTC
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