Wisconsin
Department of Safety and Professional Services
Theis, Glen Paul
Dentistry
License number
2339-15
Date granted
06/28/1979
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12620937
LAST UPDATED 2024-01-21 04:25:33 UTC
LAST UPDATED 2024-01-21 04:25:33 UTC
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