Wisconsin
Department of Safety and Professional Services
Formolo, Leanne R
Licensed Radiographer
License number
217-142
Date granted
11/08/2011
Date expires
08/31/2016
Class
Licensed Radiographer
Status
Active
wisconsinlicensing.org
ID 36412775
LAST UPDATED 2026-04-18 03:26:30 UTC
LAST UPDATED 2026-04-18 03:26:30 UTC
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