Wisconsin
Department of Safety and Professional Services
Powell, Mario R
Medicine And Surgery
License number
46494-20
Date granted
02/11/2004
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12792583
LAST UPDATED 2024-04-27 19:38:03 UTC
LAST UPDATED 2024-04-27 19:38:03 UTC
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