Wisconsin
Department of Safety and Professional Services
Parks, Samuel D
Medicine And Surgery
License number
46961-20
Date granted
06/03/2004
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12793014
LAST UPDATED 2026-05-21 03:23:23 UTC
LAST UPDATED 2026-05-21 03:23:23 UTC
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