Wisconsin
Department of Safety and Professional Services
Plaza, Jose A
Medicine And Surgery
License number
51142-20
Date granted
12/13/2007
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13616280
LAST UPDATED 2024-02-17 22:49:01 UTC
LAST UPDATED 2024-02-17 22:49:01 UTC
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