Wisconsin
Department of Safety and Professional Services
Clark, Kenneth Edward
Medicine And Surgery
License number
22673-20
Date granted
10/19/1979
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12769749
LAST UPDATED 2026-05-22 09:52:21 UTC
LAST UPDATED 2026-05-22 09:52:21 UTC
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