Wisconsin
Department of Safety and Professional Services
Blake, Scott M
Dentistry
License number
5212-15
Date granted
03/24/2000
Date expires
09/30/2003
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35575785
LAST UPDATED 2024-03-30 20:37:35 UTC
LAST UPDATED 2024-03-30 20:37:35 UTC
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