Wisconsin
Department of Safety and Professional Services
Park, Clyde H
Dentistry
License number
1000942-15
Date granted
07/10/1918
Date expires
09/30/1983
Class
Dentistry
Status
wisconsinlicensing.org
ID 12625133
LAST UPDATED 2024-04-20 01:13:03 UTC
LAST UPDATED 2024-04-20 01:13:03 UTC
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