Wisconsin
Department of Safety and Professional Services
Branch, Forrest M
Dentistry
License number
3000932-15
Date granted
08/07/1941
Date expires
09/30/1981
Class
Dentistry
Status
wisconsinlicensing.org
ID 12625674
LAST UPDATED 2026-03-20 15:00:46 UTC
LAST UPDATED 2026-03-20 15:00:46 UTC
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