Wisconsin
Department of Safety and Professional Services
Port, Jeffrey Howard
Medicine And Surgery
License number
24330-20
Date granted
01/22/1982
Date expires
10/31/2007
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35603117
LAST UPDATED 2024-03-29 18:25:37 UTC
LAST UPDATED 2024-03-29 18:25:37 UTC
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