Wisconsin
Department of Safety and Professional Services
Petty, Mckinley
Medicine And Surgery
License number
21443-20
Date granted
02/03/1978
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12768539
LAST UPDATED 2024-05-01 18:26:38 UTC
LAST UPDATED 2024-05-01 18:26:38 UTC
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