Wisconsin
Department of Safety and Professional Services
Church, An L
Medicine And Surgery
License number
57156-20
Date granted
05/07/2012
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 36435849
LAST UPDATED 2026-05-22 18:16:58 UTC
LAST UPDATED 2026-05-22 18:16:58 UTC
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