Wisconsin
Department of Safety and Professional Services
Law, Ian H
Medicine And Surgery
License number
53350-20
Date granted
07/09/2009
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36332603
LAST UPDATED 2026-05-03 00:11:23 UTC
LAST UPDATED 2026-05-03 00:11:23 UTC
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