Wisconsin
Department of Safety and Professional Services
Forrestal, Mark D
Medicine And Surgery
License number
32187-20
Date granted
06/20/1991
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 35610686
LAST UPDATED 2024-03-17 10:52:32 UTC
LAST UPDATED 2024-03-17 10:52:32 UTC
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