Wisconsin
Department of Safety and Professional Services
Fosdal, Mark O
Physician Assistant
License number
993-23
Date granted
01/09/1998
Date expires
10/31/1999
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 35631064
LAST UPDATED 2024-04-26 20:12:48 UTC
LAST UPDATED 2024-04-26 20:12:48 UTC
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