Wisconsin
Department of Safety and Professional Services
De-Paz, Jordan
Medicine And Surgery
License number
47336-20
Date granted
08/19/2004
Date expires
10/31/2007
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35625025
LAST UPDATED 2026-07-11 10:05:47 UTC
LAST UPDATED 2026-07-11 10:05:47 UTC
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