Wisconsin
Department of Safety and Professional Services
So, Conchita
Medicine And Surgery
License number
16944-20
Date granted
09/16/1969
Date expires
10/31/1999
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12764200
LAST UPDATED 2026-05-09 13:28:06 UTC
LAST UPDATED 2026-05-09 13:28:06 UTC
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