Wisconsin
Department of Safety and Professional Services
Lane, Kimberly A
Medicine And Surgery
License number
56392-20
Date granted
10/10/2011
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36409954
LAST UPDATED 2026-04-24 15:52:24 UTC
LAST UPDATED 2026-04-24 15:52:24 UTC
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