Wisconsin
Department of Safety and Professional Services
Blackwell, Barry
Medicine And Surgery
License number
23556-20
Date granted
01/09/1981
Date expires
10/31/2011
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12770599
LAST UPDATED 2024-04-26 07:44:19 UTC
LAST UPDATED 2024-04-26 07:44:19 UTC
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