Wisconsin
Department of Safety and Professional Services
Revord, John P
Medicine And Surgery
License number
32952-20
Date granted
02/19/1992
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12779714
LAST UPDATED 2024-05-17 04:19:19 UTC
LAST UPDATED 2024-05-17 04:19:19 UTC
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