Wisconsin
Department of Safety and Professional Services
Prout, Tyler M
Medicine And Surgery
License number
48471-20
Date granted
08/04/2005
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12794420
LAST UPDATED 2024-03-16 16:38:30 UTC
LAST UPDATED 2024-03-16 16:38:30 UTC
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