Wisconsin
Department of Safety and Professional Services
Lane, Philip E
Medicine And Surgery
License number
31002-20
Date granted
03/21/1990
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 35609542
LAST UPDATED 2024-02-22 15:23:41 UTC
LAST UPDATED 2024-02-22 15:23:41 UTC
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