Wisconsin
Department of Safety and Professional Services
Wallace, Timothy R
Medicine And Surgery
License number
60032-21
Date granted
01/07/2013
Date expires
02/28/2014
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13804526
LAST UPDATED 2024-04-08 15:17:14 UTC
LAST UPDATED 2024-04-08 15:17:14 UTC
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