Van Dyke, Kenneth J

Medicine And Surgery

Wisconsin  47095-20   Active

This Wisconsin license is held by Van Dyke, Kenneth J. The license is currently active. It was granted on 07/02/2004 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 47095-20
  • Category: Medicine And Surgery
  • Status: Active
  • Date Granted: 07/02/2004 (almost 20 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)