Wisconsin
Department of Safety and Professional Services
Prawira, Johanes I
Medicine And Surgery
License number
56494-20
Date granted
11/15/2011
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13762664
LAST UPDATED 2024-05-04 06:30:33 UTC
LAST UPDATED 2024-05-04 06:30:33 UTC
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