Wisconsin
Department of Safety and Professional Services
Wallace, Raymond B
Medicine And Surgery
License number
44478-21
Date granted
05/13/2002
Date expires
02/28/2014
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12797980
LAST UPDATED 2024-03-01 04:04:12 UTC
LAST UPDATED 2024-03-01 04:04:12 UTC
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