Wisconsin
Department of Safety and Professional Services
Ford, Theodore R
Medicine And Surgery
License number
30389-20
Date granted
07/01/1989
Date expires
11/01/1991
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35608959
LAST UPDATED 2024-03-01 23:42:24 UTC
LAST UPDATED 2024-03-01 23:42:24 UTC
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