BLOCK, KEITH ISAAC

Medicine And Surgery

Wisconsin  23394-20   Expired

This Wisconsin license was held by BLOCK, KEITH ISAAC. The license is no longer active. It was granted on 10/17/1980 and expired on 10/31/2011

LICENSE DETAILS

  • License Number: 23394-20
  • Category: Medicine And Surgery
  • Status: Expired
  • Date Granted: 10/17/1980 (over 44 years ago)
  • Expiry Date: 10/31/2011 (over 13 years ago)