Wisconsin
Department of Safety and Professional Services
Moss, Hart B
Medicine And Surgery
License number
60069-20
Date granted
01/16/2013
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13805282
LAST UPDATED 2026-06-25 06:12:46 UTC
LAST UPDATED 2026-06-25 06:12:46 UTC
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