Wisconsin
Department of Safety and Professional Services
Waller, Mark Owen
Dentistry
License number
3012-15
Date granted
07/19/1982
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12621675
LAST UPDATED 2024-03-27 09:23:12 UTC
LAST UPDATED 2024-03-27 09:23:12 UTC
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