Wisconsin
Department of Safety and Professional Services
Fortune, Russell A
Dentistry
License number
2778-15
Date granted
06/29/1981
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12621398
LAST UPDATED 2024-02-14 16:42:00 UTC
LAST UPDATED 2024-02-14 16:42:00 UTC
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