Wisconsin
Department of Safety and Professional Services
Portman, Guy D
Dentistry
License number
3000165-15
Date granted
01/16/1979
Date expires
09/30/1987
Class
Dentistry
Status
wisconsinlicensing.org
ID 12625290
LAST UPDATED 2024-03-20 13:38:34 UTC
LAST UPDATED 2024-03-20 13:38:34 UTC
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