Wisconsin
Department of Safety and Professional Services
Woodbury, Garrett
Medicine And Surgery
License number
63496-20
Date granted
01/16/2015
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36521096
LAST UPDATED 2026-03-18 03:45:47 UTC
LAST UPDATED 2026-03-18 03:45:47 UTC
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