Wisconsin
Department of Safety and Professional Services
Co, Eddy D
Medicine And Surgery
License number
19814-20
Date granted
02/04/1976
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12766948
LAST UPDATED 2026-05-10 11:54:46 UTC
LAST UPDATED 2026-05-10 11:54:46 UTC
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