Wisconsin
Department of Safety and Professional Services
Fasen, Geoffrey s
Medicine And Surgery
License number
57288-20
Date granted
06/01/2012
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 36438042
LAST UPDATED 2024-02-29 14:39:57 UTC
LAST UPDATED 2024-02-29 14:39:57 UTC
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