Wisconsin
Department of Safety and Professional Services
Klockow, Brian D
Dentistry
License number
2274-15
Date granted
06/18/1979
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12620872
LAST UPDATED 2024-04-07 19:46:45 UTC
LAST UPDATED 2024-04-07 19:46:45 UTC
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