Wisconsin
Department of Safety and Professional Services
Derse, Theodore S
Medicine And Surgery
License number
34915-20
Date granted
10/20/1993
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12781595
LAST UPDATED 2024-04-03 10:39:40 UTC
LAST UPDATED 2024-04-03 10:39:40 UTC
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