Wisconsin
Department of Safety and Professional Services
Van Domelen, Kristin M
Medicine And Surgery
License number
55113-20
Date granted
11/08/2010
Date expires
10/31/2013
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 36366572
LAST UPDATED 2026-05-02 16:11:54 UTC
LAST UPDATED 2026-05-02 16:11:54 UTC
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