Wisconsin
Department of Safety and Professional Services
Bates, Jim D
Medicine And Surgery
License number
22663-21
Date granted
10/19/1979
Date expires
11/01/1989
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35628660
LAST UPDATED 2024-02-29 09:38:56 UTC
LAST UPDATED 2024-02-29 09:38:56 UTC
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