Wisconsin
Department of Safety and Professional Services
Bohanan, Jack R
Dentistry
License number
4001667-15
Date granted
06/24/1961
Date expires
09/30/1989
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35578551
LAST UPDATED 2026-06-14 12:49:58 UTC
LAST UPDATED 2026-06-14 12:49:58 UTC
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