Wisconsin
Department of Safety and Professional Services
Fortman, Eugene J
Dentistry
License number
5001152-15
Date granted
01/10/1973
Date expires
09/30/1997
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35579872
LAST UPDATED 2026-04-15 09:19:32 UTC
LAST UPDATED 2026-04-15 09:19:32 UTC
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