Wisconsin
Department of Safety and Professional Services
Sudbury, Russell S
Medicine And Surgery
License number
29680-20
Date granted
07/22/1988
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12776560
LAST UPDATED 2026-03-11 03:00:08 UTC
LAST UPDATED 2026-03-11 03:00:08 UTC
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