Wisconsin
Department of Safety and Professional Services
Elder, Jack A
Dentistry
License number
5001572-15
Date granted
01/15/1976
Date expires
09/30/2013
Class
Dentistry
Status
Revoked
wisconsinlicensing.org
ID 35580276
LAST UPDATED 2024-04-14 09:42:49 UTC
LAST UPDATED 2024-04-14 09:42:49 UTC
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