Ann K. Buikema Wiarda
Controlled Substance Registration - Physician
Indiana 01047556C Expired
This Indiana license was held by Ann K. Buikema Wiarda. The license is no longer active. It was granted on 07/30/2001 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01047556C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/30/2001 (almost 25 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
MICHIANA EYE CENTER, 230 E DAY RD STE 100, Mishawaka IN 46545