Wisconsin
Department of Safety and Professional Services
Petersen, Tara L
Medicine And Surgery
License number
61162-20
Date granted
08/01/2013
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13822483
LAST UPDATED 2024-04-23 08:49:52 UTC
LAST UPDATED 2024-04-23 08:49:52 UTC
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