Wisconsin
Department of Safety and Professional Services
Batata, Al
Medicine And Surgery
License number
17821-20
Date granted
01/12/1972
Date expires
10/31/1999
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35596837
LAST UPDATED 2026-08-17 13:36:10 UTC
LAST UPDATED 2026-08-17 13:36:10 UTC
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