Wisconsin
Department of Safety and Professional Services
Polacheck, Larry J
Medicine And Surgery
License number
14594-20
Date granted
04/22/1963
Date expires
10/31/2009
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12762151
LAST UPDATED 2026-05-24 12:37:32 UTC
LAST UPDATED 2026-05-24 12:37:32 UTC
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