License holder summary

Clevidence, Derek E is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 07/07/2000 and expired on 10/31/2015.

Wisconsin

Department of Safety and Professional Services

Clevidence, Derek E
Medicine And Surgery
License number
42305-20
Date granted
07/07/2000
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12788648
LAST UPDATED 2024-02-27 16:42:25 UTC

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