License holder summary

Gustafson, Glenn E is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is not current. The license was granted 08/29/1962 and expired on 10/31/2003.

Wisconsin

Department of Safety and Professional Services

Gustafson, Glenn E
Medicine And Surgery
License number
14455-20
Date granted
08/29/1962
Date expires
10/31/2003
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12762043
LAST UPDATED 2026-05-08 10:07:53 UTC

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