Lisa Mari Wiersema

Medical - Physician And Surgeon

Minnesota  41431   Active

This Minnesota license is held by Lisa Mari Wiersema. The license is currently active. It was granted on 03/13/1999 and expired on 01/31/2015

LICENSE DETAILS

  • License Number: 41431
  • Category: Physician and Surgeon
  • Status: Active
  • Date Granted: 03/13/1999 (about 25 years ago)
  • Expiry Date: 01/31/2015 (about 9 years ago)

LOCATIONS

A Licensure Designated Address

26 West Washington St, Apt 1003, Indianapolis, IN 46204