Wisconsin
Department of Safety and Professional Services
Ptak, Thomas J
Physician Assistant
License number
16-23
Date granted
10/30/1975
Date expires
10/31/2007
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 12798469
LAST UPDATED 2024-04-17 19:06:07 UTC
LAST UPDATED 2024-04-17 19:06:07 UTC
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