Wisconsin
Department of Safety and Professional Services
Gengerke, Jason T
Medicine And Surgery
License number
50752-20
Date granted
08/02/2007
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Surrendered
wisconsinmedicine.org
ID 35628168
LAST UPDATED 2024-03-29 03:52:55 UTC
LAST UPDATED 2024-03-29 03:52:55 UTC
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