Wisconsin
Department of Safety and Professional Services
Past, Larry R
Medicine And Surgery
License number
47255-20
Date granted
08/05/2004
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12793286
LAST UPDATED 2026-06-04 21:40:36 UTC
LAST UPDATED 2026-06-04 21:40:36 UTC
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