Wisconsin
Department of Safety and Professional Services
Data, Richard
Medicine And Surgery
License number
15373-875
Date granted
09/14/1992
Date expires
12/12/1992
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 13737340
LAST UPDATED 2026-06-03 14:57:13 UTC
LAST UPDATED 2026-06-03 14:57:13 UTC
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