Wisconsin
Department of Safety and Professional Services
Small, Gary L
Dental Hygiene
License number
1002213-16
Date granted
06/24/1977
Date expires
09/30/1989
Class
Dental Hygiene
Status
Expired
wisconsinlicensing.org
ID 12755803
LAST UPDATED 2026-04-09 00:17:03 UTC
LAST UPDATED 2026-04-09 00:17:03 UTC
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