Wisconsin
Department of Safety and Professional Services
Wallingford, Walter R
Medicine And Surgery
License number
17318-20
Date granted
08/17/1970
Date expires
12/31/1973
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 12764553
LAST UPDATED 2026-04-05 11:17:57 UTC
LAST UPDATED 2026-04-05 11:17:57 UTC
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