Wisconsin
Department of Safety and Professional Services
Law, Simon K
Medicine And Surgery
License number
35996-20
Date granted
09/23/1994
Date expires
10/31/1997
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35614343
LAST UPDATED 2026-04-28 08:50:30 UTC
LAST UPDATED 2026-04-28 08:50:30 UTC
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