Wisconsin
Department of Safety and Professional Services
NASS, LISA B
Medicine And Surgery
License number
37877-20
Date granted
07/12/1996
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12784444
LAST UPDATED 2026-05-20 12:30:47 UTC
LAST UPDATED 2026-05-20 12:30:47 UTC
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