Wisconsin
Department of Safety and Professional Services
Mode, Georgia Knox
Medicine And Surgery
License number
25366-20
Date granted
07/01/1983
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12772351
LAST UPDATED 2024-02-14 21:25:03 UTC
LAST UPDATED 2024-02-14 21:25:03 UTC
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