Wisconsin
Department of Safety and Professional Services
Floor, Bruce A
Dentistry
License number
5000413-15
Date granted
06/15/1967
Date expires
09/30/2007
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35579178
LAST UPDATED 2024-03-02 13:46:46 UTC
LAST UPDATED 2024-03-02 13:46:46 UTC
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