Wisconsin
Department of Safety and Professional Services
Mack, Russell T
Medicine And Surgery
License number
21548-20
Date granted
04/26/1978
Date expires
12/31/1981
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12768643
LAST UPDATED 2024-03-01 19:14:53 UTC
LAST UPDATED 2024-03-01 19:14:53 UTC
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