Wisconsin
Department of Safety and Professional Services
Southworth, Robert Hurd
Dentistry
License number
5001628-15
Date granted
06/04/1976
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12629151
LAST UPDATED 2024-04-12 22:13:15 UTC
LAST UPDATED 2024-04-12 22:13:15 UTC
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