Wisconsin
Department of Safety and Professional Services
Portman, Thomas P
Dentistry
License number
4001513-15
Date granted
06/27/1959
Date expires
09/30/2009
Class
Dentistry
Status
wisconsinlicensing.org
ID 12627072
LAST UPDATED 2024-03-19 17:53:44 UTC
LAST UPDATED 2024-03-19 17:53:44 UTC
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