Wisconsin
Department of Safety and Professional Services
Vicente, Michael R
Medicine And Surgery
License number
40821-20
Date granted
03/12/1999
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12787252
LAST UPDATED 2026-05-23 18:15:57 UTC
LAST UPDATED 2026-05-23 18:15:57 UTC
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