Wisconsin
Department of Safety and Professional Services
Kistler, Lane A
Medicine And Surgery
License number
18544-20
Date granted
08/28/1973
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12765725
LAST UPDATED 2026-04-04 22:54:12 UTC
LAST UPDATED 2026-04-04 22:54:12 UTC
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