Wisconsin
Department of Safety and Professional Services
Lake, Wendell Bradley
Medicine And Surgery
License number
52543-20
Date granted
01/09/2009
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36319262
LAST UPDATED 2024-05-03 13:22:38 UTC
LAST UPDATED 2024-05-03 13:22:38 UTC
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