Wisconsin
Department of Safety and Professional Services
Jacques, Dana R
Medicine And Surgery
License number
42315-20
Date granted
07/07/2000
Date expires
10/31/2011
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12788658
LAST UPDATED 2026-05-18 19:37:02 UTC
LAST UPDATED 2026-05-18 19:37:02 UTC
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