Wisconsin
Department of Safety and Professional Services
Prevost, Michele A
Medicine And Surgery
License number
61797-20
Date granted
01/16/2014
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36484533
LAST UPDATED 2026-03-18 13:34:50 UTC
LAST UPDATED 2026-03-18 13:34:50 UTC
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