Wisconsin
Department of Safety and Professional Services
Dean, Larry B
Medicine And Surgery
License number
19763-20
Date granted
11/24/1975
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12766897
LAST UPDATED 2024-02-01 04:51:41 UTC
LAST UPDATED 2024-02-01 04:51:41 UTC
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