Wisconsin
Department of Safety and Professional Services
Fantz, Jon S
Medicine And Surgery
License number
46890-20
Date granted
05/17/2004
Date expires
10/31/2007
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35624611
LAST UPDATED 2024-03-25 09:33:27 UTC
LAST UPDATED 2024-03-25 09:33:27 UTC
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