Wisconsin
Department of Safety and Professional Services
Blivaiss, Mitchell S
Medicine And Surgery
License number
27384-20
Date granted
01/31/1986
Date expires
10/31/2001
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35606066
LAST UPDATED 2024-04-14 09:26:32 UTC
LAST UPDATED 2024-04-14 09:26:32 UTC
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