License holder summary

Niederhauser, Blake D is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is not current. The license was granted 04/08/2011 and expired on 10/31/2015.

Wisconsin

Department of Safety and Professional Services

Niederhauser, Blake D
Medicine And Surgery
License number
55621-20
Date granted
04/08/2011
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 36394450
LAST UPDATED 2024-03-22 05:04:40 UTC

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