Ann K. Buikema Wiarda
Controlled Substance Registration - Physician
Indiana 01047556D Expired
This Indiana license was held by Ann K. Buikema Wiarda. The license is no longer active. It was granted on 08/01/2001 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01047556D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/01/2001 (almost 25 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
MICHIANA EYE CENTER, 1919 LAKE AVENUE SUITE 103, Plymouth IN 46563