Wisconsin
Department of Safety and Professional Services
Vande Walle, Mark R
Dentistry
License number
3209-15
Date granted
09/12/1983
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12621880
LAST UPDATED 2024-03-04 10:42:44 UTC
LAST UPDATED 2024-03-04 10:42:44 UTC
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