Wisconsin
Department of Safety and Professional Services
Leisten, Gerald A
Dentistry
License number
5001760-15
Date granted
02/08/1977
Date expires
09/30/2015
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35580460
LAST UPDATED 2024-04-11 23:14:19 UTC
LAST UPDATED 2024-04-11 23:14:19 UTC
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