Wisconsin
Department of Safety and Professional Services
Smith, Jack R
Dentistry
License number
5000100-15
Date granted
06/12/1964
Date expires
09/30/1985
Class
Dentistry
Status
Deceased
wisconsinlicensing.org
ID 35578897
LAST UPDATED 2024-02-18 23:59:39 UTC
LAST UPDATED 2024-02-18 23:59:39 UTC
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