Brent Michael Wiersema
Controlled Substance Registration-Osteopathic Physician
Indiana 02002771B Expired
This Indiana license was held by Brent Michael Wiersema. The license is no longer active. It was granted on 04/05/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02002771B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 04/05/2004 (about 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
OrthoIndy, 1801 N. Senate Blvd., Ste 200, Indianapolis IN 46202