Brock, Jack A
Medicine And Surgery
Wisconsin 41776-20 Expired
This Wisconsin license was held by Brock, Jack A. The license is no longer active. It was granted on 11/05/1999 and expired on 10/31/2003
LICENSE DETAILS
- License Number: 41776-20
- Category: Medicine And Surgery
- Status: Expired
- Date Granted: 11/05/1999 (over 26 years ago)
- Expiry Date: 10/31/2003 (over 22 years ago)