Wisconsin
Department of Safety and Professional Services
Clark, Kirby P
Medicine And Surgery
License number
42049-20
Date granted
04/21/2000
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 35620098
LAST UPDATED 2024-03-13 13:47:39 UTC
LAST UPDATED 2024-03-13 13:47:39 UTC
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