Wisconsin
Department of Safety and Professional Services
Clark III, H Douglas
Dentistry
License number
5751-15
Date granted
07/16/2004
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12624669
LAST UPDATED 2024-04-27 21:40:49 UTC
LAST UPDATED 2024-04-27 21:40:49 UTC
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