Wisconsin
Department of Safety and Professional Services
Fortman, Carrie S
Physician Assistant
License number
703-23
Date granted
03/25/1993
Date expires
10/31/1995
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 35630779
LAST UPDATED 2024-02-17 07:03:26 UTC
LAST UPDATED 2024-02-17 07:03:26 UTC
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